Individual provider · Type 1 NPI

Douglas Allen Bouldin, FNP-C

Nurse Practitioner · Chesterfield, MO

NPI number 1770568727 Active

Practice location

13353 Olive Blvd
Chesterfield, MO 63017-3108

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X113431 (MO)
Family Nurse Practitioner 363LF0000X3009332 (KY)

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 1770568727

Douglas Allen Bouldin, FNP-C's National Provider Identifier is 1770568727, issued on Dec 13, 2005. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Chesterfield, MO. The record was last updated on Mar 16, 2016.