Search › Idaho › 363LF0000X
Jessica Tiner
NPI 1508623497 · on the registry since 2024
Practice
- Address
- 6140 W Curtisian Ave Ste 102
Boise, ID 83704 - Phone
- (208) 302-0000
- Fax
- (208) 302-0220
- Organisation at this address
- N S Support Llc
Kenneth M Little
Michael V Hajjar Md
Timothy J Johans, Md
Richard Lochhead Md PllcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 66
Additional practice sites
- 2050 Meadowview Pkwy, Kingsport, TN
- 1490 Park Ave Nw Ste 3c, Norton, VA
- 127 Health Care Dr Ste 3, Pennington Gap, VA
- 2033 Meadowview Ln Ste 110, Kingsport, TN
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Also registered as
- 363L00000X
- Licence states on file
- ID, TN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-04-20
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