Individual
JENNIFER BOUCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
81 HIGHLAND AVE, NORTH SHORE PHYSICANS GROUP, SALEM, MA 01970-2714
(978) 354-2405
Mailing address
81 HIGHLAND AVE, NORTH SHORE PHYSICANS GROUP, SALEM, MA 01970-2714
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
217630
MA
Other
Enumeration date
07/14/2006
Last updated
07/08/2010
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