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Individual
JENNIFER HARMON BOUDREAUX
Active
Individual
JENNIFER HARMON BOUDREAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP95013036
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NP95013036
BOARD OF REGISTERED NURSING
CA
Enumeration date
11/26/2019
Last updated
11/26/2019
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