Individual provider · Type 1 NPI
Stacey Marie Boucher, FNP
Family Nurse Practitioner · Columbus, OH
NPI number
1659854230
Active
Practice location
4200 Regent St Ste 200
Columbus, OH 43219-6229
Fax (614) 968-8840
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 95009319 (CA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1659854230
Stacey Marie Boucher, FNP's National Provider Identifier is 1659854230, issued on Sep 11, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Columbus, OH. The record was last updated on Sep 25, 2025.