Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. THADDEUS JASON BOUGHTON, ANP-BC
ActiveMR. THADDEUS JASON BOUGHTON, ANP-BC is a Adult Health Nurse Practitioner healthcare provider located in MUSCLE SHOALS, Alabama. NPI 1043553357 is currently active in the NPPES registry. Verify at CMS.
Adult Health Nurse Practitioner · MUSCLE SHOALS, AL
Registration Details
- NPI Number
- 1043553357
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 4, 2013 (13.317331445109 yrs)
- Last Updated
- May 9, 2019
- License
-
1139488 (AL)
Practice Information
- Address
-
1110 E 6TH STREET SUITE EMUSCLE SHOALS, AL, 35661Browse AL providers · Browse ZIP 35661
- Phone
- 2563142431
- Fax
- 2563142435
- Primary Specialty
-
Adult Health Nurse Practitioner
363LA2200X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.