Jason D Boucher, LPN
Adult Companion in Woonsocket, Rhode Island
1063839454- Practice location
- 1625 Diamond Hill RD, Woonsocket, RI 02895-1771
- Phone
- 401-762-1511
- Fax
- —
- Last updated
- March 24, 2014
Jason David Boucher is an Adult Companion based in Woonsocket, RI. Jason David Boucher practices in Woonsocket, RI and has the professional credentials of LPN. The NPI Number for Jason David Boucher is 1063839454 and holds a License No. 10720 (RI). The current practice location address for Jason David Boucher is 1625 Diamond Hill RD, Woonsocket, RI 02895-1771 and can be reached out via phone at 401-762-1511.
Provider Profile Details
- NPI Number
- 1063839454
- Provider Name
- Jason David Boucher
- Credential
- LPN
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 1625 Diamond Hill RD, Woonsocket, RI 02895-1771
- Phone Number
- 401-762-1511
- Primary Taxonomy
- Adult Companion · 372600000X
- Sole Proprietor
- No
- Provider Enumeration Date
- March 24, 2014
- Last Update Date
- March 24, 2014
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1625 Diamond Hill RD
Woonsocket, RI 02895-1771 - City
- Woonsocket
- State
- Rhode Island
- Zip
- 02895-1771
- Phone Number
- 401-762-1511
Provider Business Mailing Address Details
- Address
- 1625 Diamond Hill RD
Woonsocket, RI 02895-1771 - City
- Woonsocket
- State
- RI
- Zip
- 02895-1771
- Phone Number
- 401-762-1511
License Information
- License Number
- 10720
- License State
- RI
- Taxonomy
- Adult Companion · 372600000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Jason D Boucher, LPN?
The NPI number of Jason D Boucher, LPN is 1063839454. It was assigned on March 24, 2014 and is currently active in the NPPES registry.
What is the specialty of Jason D Boucher, LPN?
Jason D Boucher, LPN is registered under the primary taxonomy Adult Companion (code 372600000X), licensed in RI under license number 10720.
Where does Jason D Boucher, LPN practice?
The practice location is 1625 Diamond Hill RD, Woonsocket, RI 02895-1771. The office can be reached at 401-762-1511 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063839454 directly on the NPPES registry website.