Jennifer E Phillips
ST LUKES CLINIC-TREASURE VALLEY LLC


Address: 703 S Americana Blvd, Suite 150, Boise, ID 83702-4976
Phone: 2087066375

Jennifer E Phillips (NPI# 1619433703, PAC ID# 6406196823) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.

Physician Overview

Nation Provider ID (NPI) 1619433703
PAC ID by PECOS 6406196823
Professional Enrollment ID I20190321002817
Full Name Jennifer E Phillips
Organization Legal Name ST LUKES CLINIC-TREASURE VALLEY LLC
Address 703 S Americana Blvd
Suite 150
Boise
ID 83702-4976
Phone Number 2087066375
Gender F
Graduation Year 2018
Primary Specialty NURSE PRACTITIONER
Group Practice PAC ID 4981878402
Number of Group Practice Members 770
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
130006 ST LUKE'S REGIONAL MEDICAL CENTER

Other Locations

Address Phone Organization
608 W Hays St, Boise, ID 83702-5511 2083815970 ST LUKES CLINIC-TREASURE VALLEY LLC
610 W Hays St, Boise, ID 83702-5511 ST LUKES CLINIC-TREASURE VALLEY LLC
703 S Americana Blvd, Suite 150, Boise, ID 83702-4976 2087066375 ST LUKES CLINIC-TREASURE VALLEY LLC

Organization Information

Organization Legal Name ST LUKES CLINIC-TREASURE VALLEY LLC
Physicians 831

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Eric Scholten Pulmonary Disease St Lukes Clinic-treasure Valley LLC 1210 Nw 16th St, Fruitland, ID 83619-2202
Tracye J Lawyer Orthopedic Surgery St Lukes Clinic-treasure Valley LLC 9850 St Lukes Dr, Suite 215, Nampa, ID 83687-7912
Alex Mari Tanabe Internal Medicine St Lukes Clinic-treasure Valley LLC 600 N Robbins Rd, Boise, ID 83702-4565
Jessica J Carpenter Clinical Social Worker St Lukes Clinic-treasure Valley LLC 1620 S Kimball Ave, Caldwell, ID 83605-4547
Whitney B Conrad Nurse Practitioner St Lukes Clinic-treasure Valley LLC 1226 W River St, Boise, ID 83702-7049
Megan D Larson Nurse Practitioner St Lukes Clinic-treasure Valley LLC 287 W Jefferson St, Boise, ID 83702-6045
Bonnie M Reed Family Medicine St Lukes Clinic-treasure Valley LLC 3090 E Gentry Way, Suite 200, Meridian, ID 83642-3550
Scott J Chyna Clinical Social Worker St Lukes Clinic-treasure Valley LLC 703 S Americana Blvd, Suite 150, Boise, ID 83702-4976
Sarah J Mooseau Qualified Audiologist St Lukes Clinic-treasure Valley LLC 510 N 2nd St, Suite 201, Boise, ID 83702-6078
Nitya Alluri Hematology St Lukes Clinic-treasure Valley LLC 100 E Idaho St, Suite 302, Boise, ID 83712-6269

Office Location

Street Address 703 S AMERICANA BLVD
SUITE 150
City BOISE
State ID
Zip 83702-4976

Physicians in the same location

Name Specialty Organization Address
Scott J Chyna Clinical Social Worker St Lukes Clinic-treasure Valley LLC 703 S Americana Blvd, Suite 150, Boise, ID 83702-4976
Michael Cabahug Pahang Nurse Practitioner St Lukes Clinic-treasure Valley LLC 703 S Americana Blvd, Suite 150, Boise, ID 83702-4976
Trek D Lyons Family Medicine St Lukes Clinic-treasure Valley LLC 703 S Americana Blvd, Suite 150, Boise, ID 83702-4976
Yvette L Jackson Clinical Social Worker St Lukes Clinic-treasure Valley LLC 703 S Americana Blvd, Suite 150, Boise, ID 83702-4976
Thomas J Orthmeyer Jr. Psychiatry St Lukes Clinic-treasure Valley LLC 703 S Americana Blvd, Suite 150, Boise, ID 83702-4976
Laura Musteti Oprea Psychiatry St Lukes Clinic-treasure Valley LLC 703 S Americana Blvd, Suite 150, Boise, ID 83702-4976
Alison J Krause Psychiatry St Lukes Clinic-treasure Valley LLC 703 S Americana Blvd, Suite 150, Boise, ID 83702-4976
John M Wick Sports Medicine St Lukes Clinic-treasure Valley LLC 703 S Americana Blvd, Suite 150, Boise, ID 83702-4976
Taylor J Rogers Clinical Social Worker St Lukes Clinic-treasure Valley LLC 703 S Americana Blvd, Boise, ID 83702-4976

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Competitor

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City BOISE
Zip Code 83702
Specialty NURSE PRACTITIONER
City + Specialty BOISE + NURSE PRACTITIONER

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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