Search › Idaho › 363A00000X
Jordan Evans, PA-S
NPI 1487278453 · on the registry since 2020
Practice
- Address
- 6051 W Emerald St
Boise, ID 83704 - Phone
- (208) 302-5150
- Fax
- (208) 302-5155
- Clinicians at this address
- 58
Additional practice sites
- Creighton Hall 222 Se 8th Ave, Hillsboro, OR
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363A00000X
390200000X - Licence states on file
- CA, ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-10-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho