Individual provider · Type 1 NPI

Kayla Boudreau

Physician Assistant · Jacksonville, NC

NPI number 1255283883 Active

Practice location

612 College St
Jacksonville, NC 28540-5311

Fax (910) 347-0728

Mailing address

140 Sweeten Creek Rd
Asheville, NC 28803-1526

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1255283883

Kayla Boudreau's National Provider Identifier is 1255283883, issued on Feb 14, 2026. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Jacksonville, NC. The record was last updated on Oct 21, 2026.