Active NPIIndividual provider

Mr. Jeffrey W Bouley, FNP-C

Nurse Practitioner, Family in Wakefield, Rhode Island

NPI Number1104440965
Practice location
1 River St, Wakefield, RI 02879-3214
Fax
401-783-9448
Last updated
June 20, 2025

Jeffrey W Bouley is a Nurse Practitioner, Family based in Wakefield, RI. Jeffrey W Bouley practices in Wakefield, RI and has the professional credentials of FNP-C. The NPI Number for Jeffrey W Bouley is 1104440965 and holds a License No. APRN02341 (RI). The current practice location address for Jeffrey W Bouley is 1 River St, Wakefield, RI 02879-3214 and can be reached out via phone at 401-783-0523 and via fax at 401-783-9448.

Provider Profile Details

NPI Number
1104440965
Provider Name
Jeffrey W Bouley
Credential
FNP-C
Provider Entity Type
Individual
Gender
Male
Address
1 River St, Wakefield, RI 02879-3214
Phone Number
401-783-0523
Fax Number
401-783-9448
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
No
Provider Enumeration Date
June 7, 2020
Last Update Date
June 20, 2025
Certification Date
June 20, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 River St
Wakefield, RI 02879-3214
Zip
02879-3214
Phone Number
401-783-0523
Fax Number
401-783-9448
Wakefield, RI 02879Get directions →

Provider Business Mailing Address Details

Address
1 River St
Wakefield, RI 02879-3214
City
Wakefield
State
RI
Zip
02879-3214
Phone Number
401-783-0523
Fax Number
401-783-9448

License Information

License Number
APRN02341
License State
RI
Taxonomy
Nurse Practitioner, Family · 363LF0000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Mr. Jeffrey W Bouley, FNP-C?

The NPI number of Mr. Jeffrey W Bouley, FNP-C is 1104440965. It was assigned on June 7, 2020 and is currently active in the NPPES registry.

What is the specialty of Mr. Jeffrey W Bouley, FNP-C?

Mr. Jeffrey W Bouley, FNP-C is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in RI under license number APRN02341.

Where does Mr. Jeffrey W Bouley, FNP-C practice?

The practice location is 1 River St, Wakefield, RI 02879-3214. The office can be reached at 401-783-0523 (phone) or 401-783-9448 (fax).

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 1104440965 directly on the NPPES registry website.

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