Individual provider · Type 1 NPI

Jenna Boutilier, NP

Nurse Practitioner · Cumberland, RI

NPI number 1154657443 Active

Practice location

106 Nate Whipple Hwy, Suite 101
Cumberland, RI 02864-1403

Fax (401) 658-3612

Mailing address

PO Box 27
Manville, RI 02838-0027

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XNPP37529 (RI)

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 1154657443

Jenna Boutilier, NP's National Provider Identifier is 1154657443, issued on Oct 22, 2009. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Cumberland, RI. The record was last updated on Oct 22, 2009.