Individual provider · Type 1 NPI

James Bryce Boudreau

Family Nurse Practitioner · Columbia, MO

NPI number 1689312787 Active

Practice location

1600 E Broadway
Columbia, MO 65201-5844

Specialties and licenses

Taxonomy	Code	License
Family Nurse Practitioner	363LF0000X	2022013516 (MO)
Primary Care Nurse Practitioner	363LP2300X	2018007575 (MO)
Family Nurse Practitioner Primary	363LF0000X	2022021020 (MO)

Family Nurse Practitioner: Definition to come...

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About NPI 1689312787

James Bryce Boudreau's National Provider Identifier is 1689312787, issued on May 26, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Columbia, MO. The record was last updated on Jun 13, 2022.