Individual provider · Type 1 NPI

Thaddeus Jason Boughton, ANP-BC

Adult Health Nurse Practitioner · Muscle Shoals, AL

NPI number 1043553357 Active

Practice location

1110 E 6th Street Suite E
Muscle Shoals, AL 35661

Call (256) 314-2431 Map

Fax (256) 314-2435

Other practice locations

1110 E 6th Street Suite E, Muscle Shoals, AL 35661 · (256) 314-2431

Specialties and licenses

Taxonomy	Code	License
Adult Health Nurse Practitioner Primary	363LA2200X	1139488 (AL)

Adult Health Nurse Practitioner: Definition to come...

About NPI 1043553357

Thaddeus Jason Boughton, ANP-BC's National Provider Identifier is 1043553357, issued on Apr 4, 2013. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Muscle Shoals, AL. The record was last updated on May 9, 2019.