Healthcare Provider Details

I. General information

NPI: 1679569701
Provider Name (Legal Business Name): JANE N YOUNG CRNP MSN, DNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/23/2005
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1075 N CURTIS RD SUITE 100
BOISE ID
83706-1300
US

IV. Provider business mailing address

1075 N CURTIS RD SUITE 100
BOISE ID
83706-1300
US

V. Phone/Fax

Practice location:
  • Phone: 208-377-5166
  • Fax: 208-375-0599
Mailing address:
  • Phone: 208-377-5166
  • Fax: 208-375-0599

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberNP71A
License Number StateID

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: