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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. LISA M WILKERSON, PA

Active

MRS. LISA M WILKERSON, PA is a Physician Assistant healthcare provider located in BOISE, Idaho. NPI 1427065788 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · BOISE, ID

Registration Details

NPI Number
1427065788
Provider Type
Individual
Gender
Female
NPI Issued
Aug 1, 2006 (20.047209849464 yrs)
Last Updated
Aug 31, 2023
Licenses
PA05035 (TX)
PA-2140 (ID)

Practice Information

Address
444 W FORT ST FL 2
BOISE, ID, 837024535
Browse ID providers · Browse ZIP 83702
Phone
2084221018
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Physician Assistant

Other Physician Assistant Providers in BOISE, ID

Name Credential NPI
MS. YELENA SHUEY PA-C 1124029939
JEFFREY D SMITH PA C 1013905793
CHADWICK ALDEN FISHER PA 1497744338
RACHEL KING PA 1205826245
DARRELL L KING PA 1770573644
THOMAS F DOUTHIT PA-C 1023008414
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.