Individual
DR. JENNIFER PAULSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, FNP-BC
Contact information
Practice address
13909 W WAINWRIGHT DR, BOISE, ID 83713-1969
(208) 607-3738
(208) 369-9274
Mailing address
13909 W WAINWRIGHT DR, BOISE, ID 83713-1969
(208) 607-3738
(208) 369-9274
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
201050195NP
OR
363LF0000X
Family Nurse Practitioner
Primary
74281
ID
363LF0000X
Family Nurse Practitioner
AP3281
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
131679
MEDICARE PROVIDER NUMBER
OR
Enumeration date
07/09/2008
Last updated
01/13/2026
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