person
Jennifer S Boucher, NP
Family Nurse Practitioner in Riverview, Michigan
NPI 1861583494

Jennifer S Boucher is a Family Nurse Practitioner based in Riverview, MI and is specialized in Family. Jennifer S Boucher practices in Riverview, MI and has the professional credentials of NP. The NPI Number for Jennifer S Boucher is 1861583494 and holds a License No. 4704180289 (Michigan).

The current practice location address for Jennifer S Boucher is 19020 Fort St, Riverview, MI and can be reached out via phone at 734-362-5100 and via fax at 734-362-5147.

Location: 19020 Fort St, Riverview, MI, 48193-6701
person
Provider Profile Details
NPI Number
1861583494
Provider Name
Jennifer S Boucher
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
19020 Fort St, Riverview, MI, 48193-6701
Phone Number
734-362-5100
Fax Number
734-362-5147
Provider Enumeration Date
09/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4704180289 01 MI NP SPECIALTY BOARD CERT
institution
Provider Business Practice Location Address Details
Address
19020 Fort St
City
State
Zip
48193-6701
Phone Number
734-362-5100
Fax Number
734-362-5147
person
Provider Business Mailing Address Details
Address
19020 Fort St
City
State
Zip
48193-6701
Phone Number
734-362-5100
Fax Number
734-362-5147
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
4704180289 (Michigan)
Definition
Definition to come...
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