JENNIFER BOUDREAUX


Address: 931 N Canal Blvd, Thibodaux, LA 70301-8095
Phone: 9854466381

JENNIFER BOUDREAUX (NPI# 1679922918) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1679922918
Entity Type Individual
Full Name JENNIFER BOUDREAUX
Practice Address 931 N Canal Blvd
Thibodaux
LA 70301-8095
Practice Telephone 9854466381
Enumeration Date 2016-06-07
Last Update Date 2016-06-07
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 364SF0001X Clinical Nurse Specialist
Specialization: Family Health
F0616045 LA Physician Assistants & Advanced Practice Nursing Providers

Other Providers JENNIFER BOUDREAUX

NPI Name Taxonomy Address Enumeration
1700431244 Jennifer S Boudreaux Pharmacist 1410 Kings Hwy, Shreveport, LA 71103-4227 2019-08-01
1275179012 Jennifer Harmon Boudreaux Nurse Practitioner 1441 Liberty St, Redding, CA 96001-0811 2019-11-26
1164825519 Jennifer Boudreaux Physical Therapist 2158 Portsmouth St, Houston, TX 77098-4057 2014-09-30
1790038495 Jennifer Katharine Boudreaux Nurse Practitioner 920 Royal Ave, Medford, OR 97504-6169 2012-10-18

Office Location

Street Address 931 N CANAL BLVD
City THIBODAUX
State LA
Zip Code 70301-8095

Providers in the same location

NPI Name Taxonomy Address Enumeration
1821086133 Chantel Charpentier Nurse Practitioner 931 N Canal Blvd, Thibodaux, LA 70301-8095 2005-10-11
1063048940 Shawn M Keller Nurse Practitioner 931 N Canal Blvd, Thibodaux, LA 70301-8095 2020-03-23
1780246660 Mi'osha Bailey Nurse Practitioner 931 N Canal Blvd, Thibodaux, LA 70301-8095 2019-07-01
1669996658 Sunanda Kotapuri Internal Medicine 931 N Canal Blvd, Thibodaux, LA 70301-8095 2017-08-01
1073989224 Kristy Hebert Nurse Practitioner 931 N Canal Blvd, Thibodaux, LA 70301-8095 2015-08-11
1396888970 Tracy Ruth Gallagher Nurse Practitioner 931 N Canal Blvd, Thibodaux, LA 70301-8095 2007-02-14

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1225539620 Micah Aaron Callais Nurse Practitioner 604 N. Acadia Road, Suite 200, Thibodaux, LA 70301 2018-02-22
1982112348 Katie Leblanc Massage Therapist 1115 St. Mary Street, Thibodaux, LA 70301 2018-01-18
1154837391 Texas Digestive Disease Consultants, Pllc Internal Medicine 764 North Acadia Road, Suite A, Thibodaux, LA 70301 2017-12-26
1235648239 Speech and Feeding Therapy, LLC Speech-Language Pathologist 1000 Plantation Rd Ste 1a, Thibodaux, LA 70301 2017-09-22
1285150466 Tara Payne Counselor 303 Hickory Street, Thibodaux, LA 70301 2017-08-18
1427583475 Tyler Pettigrew Counselor 300 Plantation Rd., Apt #24, Thibodaux, LA 70301 2017-04-27
1750825758 Jessica Barquet Counselor 110 Palm Villa Dr Apt 1, Thibodaux, LA 70301 2016-12-09
1013468230 Shenee Haas Gros Counselor 504 Cherry St., Thibodaux, LA 70301 2016-10-24
1982155388 Southern Ent Associates Inc Audiologist 604 North Acadia Road Suite 101, Thibodaux, LA 70301 2016-10-20
1215483888 Lesheeca Norman, Lpc Counselor 306 Victoria Court, Thibodaux, LA 70301 2016-09-01
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Taxonomy Information

Taxonomy Code 364SF0001X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Clinical Nurse Specialist
Specialization Family Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1710427646 Emily Marie Riordan Clinical Nurse Specialist 314 Blue Fox Cir, Haughton, LA 71037-7707 2017-02-25
1689116964 Linda Ford Clinical Nurse Specialist 11809 Highway 84 W, Jena, LA 71342-3703 2016-11-17
1427414549 Affinity Health Group, LLC Clinical Nurse Specialist 1000 Jonesboro Rd, Beverage Division Plant 70, West Monroe, LA 71292-5925 2016-01-05
1114308731 Lifespan Care LLC Clinical Nurse Specialist 1950 Duralde Hwy, Eunice, LA 70535-2131 2015-06-10
1831513555 Charlene Jean Borne Clinical Nurse Specialist 70377 11th St, Covington, LA 70433-5394 2014-02-17
1891977369 True Care LLC Clinical Nurse Specialist 20959 Anderson Rd, Zachary, LA 70791-7915 2007-11-27
1801494588 Omni South Healthcare LLC Clinical Nurse Specialist 8225 Ymca Plaza Dr, Baton Rouge, LA 70810-0922 2020-10-14
1487063590 William Boston Clinical Nurse Specialist 12880 Plank Rd, Baker, LA 70714-4909 2014-08-04
1851719652 Robreka King Clinical Nurse Specialist 3401 North Blvd, Suite #200-b, Baton Rouge, LA 70806-3743 2014-03-31
1861825929 Raven Corporation of New Orleans Clinical Nurse Specialist 7506 Jonlee Dr, New Orleans, LA 70128-1435 2013-08-13
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Competitor

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City THIBODAUX
Zip Code 70301

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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