Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JENNIFER KATHARINE BOUDREAUX, MSN, CPNP-PC, PMHS
Active Sole ProprietorJENNIFER KATHARINE BOUDREAUX, MSN, CPNP-PC, PMHS is a Pediatric Nurse Practitioner healthcare provider located in MEDFORD, Oregon. NPI 1790038495 is currently active in the NPPES registry. Verify at CMS.
Pediatric Nurse Practitioner · MEDFORD, OR
Registration Details
- NPI Number
- 1790038495
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 18, 2012 (13.783512791125 yrs)
- Last Updated
- Nov 28, 2023
- Licenses
-
201350098NP (OR)201350098NP (OR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
33 N CENTRAL AVE STE 317MEDFORD, OR, 975015939Browse OR providers · Browse ZIP 97501
- Phone
- 5412272808
- Fax
- 5412272807
- Primary Specialty
-
Pediatric Nurse Practitioner
363LP0200X
- Additional Specialty
- Pediatric Nurse Practitioner
Other Pediatric Nurse Practitioner Providers in MEDFORD, OR
| Name | Credential | NPI |
|---|---|---|
| DIANA SCHOLTZ | CPNP-PC | 1477533263 |
| BONITA ANNETTE RYALL | N.P. | 1851366694 |
| MRS. CHERYL LYNN PIPPIN | MSN, PNP | 1164505525 |
| MS. NANCY ALEXANDRIA CAVANAUGH | PNP | 1255531638 |
| HEATHER LYNN HORN | N.P. | 1598959553 |
| JESSICA NAWOICHIK | RN/NP | 1366755019 |
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.