person
James Bryce Boudreau
Family Nurse Practitioner in Columbia, Missouri
NPI 1689312787

James Bryce Boudreau is a Family Nurse Practitioner based in Columbia, MO and is specialized in Family. James Bryce Boudreau practices in Columbia, MO. The NPI Number for James Bryce Boudreau is 1689312787 and holds a License No. 2022013516 (Missouri).

The current practice location address for James Bryce Boudreau is 1600 E Broadway, Columbia, MO and can be reached out via phone at 573-815-8000. You can also correspond with James Bryce Boudreau through the mailing address at 1600 E BROADWAY, COLUMBIA, MO - 65201-5844 (mailing address contact number: 573-815-8000).

Location: 1600 E Broadway, Columbia, MO, 65201-5844
person
Provider Profile Details
NPI Number
1689312787
Provider Name
James Bryce Boudreau
Credential
Provider Entity Type
Individual
Gender
Male
Address
1600 E Broadway, Columbia, MO, 65201-5844
Phone Number
573-815-8000
Fax Number
Provider Enumeration Date
05/26/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1600 E Broadway
City
State
Zip
65201-5844
Phone Number
573-815-8000
Fax Number
person
Provider Business Mailing Address Details
Address
1600 E Broadway
City
State
Zip
65201-5844
Phone Number
573-815-8000
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
2018007575 (Missouri)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
License No.
2022013516 (Missouri)
Definition
Definition to come...
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