Individual provider · Type 1 NPI
Jennifer Katharine Boudreaux, MSN, CPNP-PC, PMHS
Pediatric Nurse Practitioner · Medford, OR
NPI number
1790038495
Active
Practice location
33 N Central Ave Ste 317
Medford, OR 97501-5939
Fax (541) 227-2807
Mailing address
104 Cherrybark Dr
Jacksonville, NC 28540-9360
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 201350098NP (OR) |
| Pediatric Nurse Practitioner Primary | 363LP0200X | 201350098NP (OR) |
Pediatric Nurse Practitioner: Definition to come...
Another provider at this address
Other pediatric nurse practitioner providers in Medford
- Cheryl Lynn Pippin, MSN, PNPPediatric Nurse Practitioner Medford, OR NPI 1164505525
- Nancy Alexandria Cavanaugh, PNPPediatric Nurse Practitioner Medford, OR NPI 1255531638
- Jessica Nawoichik, RN/NPPediatric Nurse Practitioner Medford, OR NPI 1366755019
- Diana Scholtz, CPNP-PCPediatric Nurse Practitioner Medford, OR NPI 1477533263
- Heather Lynn Horn, N.P.Pediatric Nurse Practitioner Medford, OR NPI 1598959553
- Whitney A. Serafini, PNPPediatric Nurse Practitioner Medford, OR NPI 1770033474
- Tasha Renee Rutledge, CPNP-POPediatric Nurse Practitioner Medford, OR NPI 1841707742
- Bonita Annette Ryall, N.P.Pediatric Nurse Practitioner Medford, OR NPI 1851366694
About NPI 1790038495
Jennifer Katharine Boudreaux, MSN, CPNP-PC, PMHS's National Provider Identifier is 1790038495, issued on Oct 18, 2012. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Medford, OR. The record was last updated on Nov 28, 2023.