Individual provider · Type 1 NPI
Tara Boudoin Deville, NP
Nurse Practitioner · Beaumont, TX
Practice location
3195 Dowlen Rd Ste 105
Beaumont, TX 77706
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 712309 (TX) |
Nurse Practitioner: (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 wit…
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About NPI 1104184845
Tara Boudoin Deville, NP's National Provider Identifier is 1104184845, issued on May 1, 2012. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Beaumont, TX. The record was last updated on Jun 13, 2018.