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Douglas Allen Bouldin, FNP-C
Family Nurse Practitioner in Chesterfield, Missouri
NPI 1770568727

Douglas Allen Bouldin is a Family Nurse Practitioner based in Chesterfield, MO and is specialized in Family. Douglas Allen Bouldin practices in Chesterfield, MO and has the professional credentials of FNP-C. The NPI Number for Douglas Allen Bouldin is 1770568727 and holds a License No. 113431 (Missouri).

The current practice location address for Douglas Allen Bouldin is 13353 Olive Blvd, Chesterfield, MO and can be reached out via phone at 636-473-8873.

Location: 13353 Olive Blvd, Chesterfield, MO, 63017-3108
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770568727
Provider Name
Douglas Allen Bouldin
Credential
FNP-C
Provider Entity Type
Individual
Gender
Male
Address
13353 Olive Blvd, Chesterfield, MO, 63017-3108
Phone Number
636-473-8873
Fax Number
Provider Enumeration Date
12/13/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
425690617 05 MO
institution
Provider Business Practice Location Address Details
Address
13353 Olive Blvd
City
Chesterfield
State
Missouri
Zip
63017-3108
Phone Number
636-473-8873
Fax Number
person
Provider Business Mailing Address Details
Address
13353 Olive Blvd
City
Chesterfield
State
Missouri
Zip
63017-3108
Phone Number
636-473-8873
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
3009332 (Kentucky)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
113431 (Missouri)
Definition
Definition to come...
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