Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NICHOLAS BOULLARD, MD
ActiveNICHOLAS BOULLARD, MD is a General Practice healthcare provider located in JACKSON, Mississippi. NPI 1811492309 is currently active in the NPPES registry. Verify at CMS.
General Practice · JACKSON, MS
Registration Details
- NPI Number
- 1811492309
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 27, 2018 (8.3540114338832 yrs)
- Last Updated
- Aug 11, 2021
- License
-
28006 (MS)
Practice Information
- Address
-
4026 N STATE STJACKSON, MS, 392065754Browse MS providers · Browse ZIP 39206
- Phone
- 6018133446
- Primary Specialty
-
General Practice
208D00000X
- Additional Specialty
- General Practice
Other General Practice Providers in JACKSON, MS
| Name | Credential | NPI |
|---|---|---|
| DR. BRUCE E ROBERTS | M.D. | 1770570038 |
| MR. TIMOTHY DUNCAN ESTES | M.D. | 1285746511 |
| JONATHAN CHRISTOPHER SLEDGE | M.D. | 1982868782 |
| DR. BYRD LAMAR PAYNE | M.D. | 1851524730 |
| DR. EMILY EVANS GRENN | — | 1306336920 |
| VIPINA BHAKTADASAN NAIR | MBBS | 1871055392 |
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.