● Active Type 1 · Individual

Jennifer Mahlberg-Grant, APRN

Nurse Practitioner·Eagle, ID· NPI 1982126686 · Enumerated 2017 · 8 years on NPI

Mahlberg-Grant is 1 of 1 nurse practitioner providers in Eagle and 1 of 56 in Idaho.

NPI age

8 years

Enumerated 2017-07-13

Primary specialty

Nurse Practitioner

Plus 1 subspecialty

Licensed in

ID, NV

2 states

Status

Active

No deactivations on record

Last NPPES update

2021-01-12

Source: monthly bulk 2026-05

Sole proprietor

May be part of a larger org

How this provider compares

Across 56 active nurse practitioner providers in Idaho.

NPI age

8 years

↓ 3 yr below median (11 yr)

State licenses

2 states

Top 87% — 12% of peers are multi-state

Subspecialties

In the 28% of peers with subspecialties

NPI lifetime · 2017 → 2026

2017-07Enumerated in NPPES

2017 2026

Where they practice

Practice location

951 E Plaza Dr, Ste 110

Eagle, ID 836166567

📞 7757385850fax 7757385856

Mailing address

3325 Research Way

Carson City, NV 897067913

📞 7758886610fax 7758884904

Specialties

Physician Assistants & Advanced Practice Nursing Providers › Nurse Practitioner

Nurse Practitioner Primary

Definition to come...

ID license #53418 taxonomy 363LW0102X
Nurse Practitioner

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum...

NV license #APRN002287 taxonomy 363L00000X

Identifiers

Type	Value	Notes
01 (NV)	APRN002287	APRN LICENSE

Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 11 other active providers share this practice address in NPPES.

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How to verify this provider

Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
Check the state license is currently active.State licensing boards publish current status; NPPES does not.
Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.