Active NPIIndividual provider

Jennifer A Boudrow

Nurse Practitioner in Burlington, Massachusetts

NPI Number1629782834
Practice location
20 Wall St, Burlington, MA 01803-4758
Fax
—
Last updated
May 11, 2023

Jennifer Ann Boudrow is a Nurse Practitioner based in Burlington, MA. Jennifer Ann Boudrow practices in Burlington, MA. The NPI Number for Jennifer Ann Boudrow is 1629782834 and holds a License No. RN2313397 (MA). The current practice location address for Jennifer Ann Boudrow is 20 Wall St, Burlington, MA 01803-4758 and can be reached out via phone at 978-987-0773.

Provider Profile Details

NPI Number
1629782834
Provider Name
Jennifer Ann Boudrow
Provider Entity Type
Individual
Gender
Female
Address
20 Wall St, Burlington, MA 01803-4758
Phone Number
978-987-0773
Primary Taxonomy
Nurse Practitioner · 363L00000X
Sole Proprietor
No
Provider Enumeration Date
January 11, 2023
Last Update Date
May 11, 2023
Certification Date
May 11, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
20 Wall St
Burlington, MA 01803-4758
Zip
01803-4758
Phone Number
978-987-0773
Burlington, MA 01803Get directions →

Provider Business Mailing Address Details

Address
60 Bellflower RD
Billerica, MA 01821-3037
City
Billerica
State
MA
Zip
01821-3037
Phone Number
978-987-0773

License Information

License Number (1)
RN2313397
License State (1)
MA
Taxonomy (1)
Registered Nurse · 163W00000X
License Number (2)
086563-21
License State (2)
NH
Taxonomy (2)
Registered Nurse · 163W00000X
License Number (3)
086563-23
License State (3)
NH
Taxonomy (3)
Nurse Practitioner · 363L00000X
License Number (4)
RN2313397
License State (4)
MA
Taxonomy (4)
Nurse Practitioner · 363L00000X · 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 Jennifer A Boudrow?

The NPI number of Jennifer A Boudrow is 1629782834. It was assigned on January 11, 2023 and is currently active in the NPPES registry.

What is the specialty of Jennifer A Boudrow?

Jennifer A Boudrow is registered under the primary taxonomy Nurse Practitioner (code 363L00000X), licensed in MA under license number RN2313397.

Where does Jennifer A Boudrow practice?

The practice location is 20 Wall St, Burlington, MA 01803-4758. The office can be reached at 978-987-0773 (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 1629782834 directly on the NPPES registry website.

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