Individual provider · Type 1 NPI

Jacques Boucal, NURSE PRACTITIONER

Psychiatric/Mental Health Nurse Practitioner · St. Louis Park, MN

NPI number 1366156986 Active

Practice location

3800 Park Nicollet Blvd
St. Louis Park, MN 55416-2527

Mailing address

3691 Falcon Way
Eagan, MN 55123-2227

Other practice locations

  • 3691 Falcon Way, Eagan, MN 55123-2227 · (651) 226-5523

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X9848 (MN)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1366156986

Jacques Boucal, NURSE PRACTITIONER's National Provider Identifier is 1366156986, issued on Jan 9, 2023. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in St. Louis Park, MN. The record was last updated on Jan 9, 2023.