Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery
Dr. JENNIFER LILLEMON M.D.
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1467718932 · enumerated 2012-04-09 · record updated 2019-05-15. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Mailing address 100 E IDAHO ST STE 304, BOISE, ID, 83712-6269 (208) 381-7040 Google Maps Apple Maps OpenStreetMap
- Practice location 100 E IDAHO ST STE 304, BOISE, ID, 83712 (208) 381-7040 Google Maps Apple Maps OpenStreetMap
Specialties
- Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery 207VF0040X · Primary · License MD177334 OR
- Student in an Organized Health Care Education/Training Program 390200000X
In this directory
ID Ada County Boise Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery
Locations and evidence
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Practice location
BOISE, ID, 83712
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.