Individual provider · Type 1 NPI
Jamey Michael Boucher, APNP
Nurse Practitioner · Green Bay, WI
Practice location
2845 Greenbrier Rd
Green Bay, WI 54311-6519
Fax (920) 288-8668
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 5421 (WI) |
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 1275967994
Jamey Michael Boucher, APNP's National Provider Identifier is 1275967994, issued on Aug 29, 2013. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Green Bay, WI. The record was last updated on Nov 24, 2021.