person
Jennifer Katharine Boudreaux, MSN,CPNP-PC,PMHS
Pediatric Nurse Practitioner in Medford, Oregon
NPI 1790038495

Jennifer Katharine Boudreaux is a Pediatric Nurse Practitioner based in Jacksonville, OR and is specialized in Pediatrics. Jennifer Katharine Boudreaux practices in Medford, OR and has the professional credentials of MSN,CPNP-PC,PMHS. The NPI Number for Jennifer Katharine Boudreaux is 1790038495 and holds a License No. 201350098NP (Oregon).

The current practice location address for Jennifer Katharine Boudreaux is 33 N Central Ave Ste 317, Medford, OR and can be reached out via phone at 541-227-2808 and via fax at 541-227-2807. You can also correspond with Jennifer Katharine Boudreaux through the mailing address at 104 CHERRYBARK DR, JACKSONVILLE, NC - 28540-9360 (mailing address contact number: 541-324-3648).

Location: 33 N Central Ave Ste 317, Medford, OR, 28540-9360
person
Provider Profile Details
NPI Number
1790038495
Provider Name
Jennifer Katharine Boudreaux
Credential
MSN,CPNP-PC,PMHS
Provider Entity Type
Individual
Gender
Female
Address
33 N Central Ave Ste 317, Medford, OR, 28540-9360
Phone Number
541-227-2808
Fax Number
541-227-2807
Provider Enumeration Date
10/18/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
500657026 05 OR
institution
Provider Business Practice Location Address Details
Address
33 N Central Ave Ste 317
City
State
Zip
97501-5939
Phone Number
541-227-2808
Fax Number
541-227-2807
person
Provider Business Mailing Address Details
Address
33 N Central Ave Ste 317
City
State
Zip
97501-5939
Phone Number
541-227-2808
Fax Number
541-227-2807
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
201350098NP (Oregon)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
201350098NP (Oregon)
Definition
Definition to come...
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