Individual
JAMEY MICHAEL BOUCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APNP
Contact information
Practice address
2845 GREENBRIER RD, GREEN BAY, WI 54311-6519
(920) 288-8661
(920) 288-8668
Mailing address
2845 GREENBRIER RD, GREEN BAY, WI 54311-6519
(920) 288-8661
(920) 288-8668
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5421
WI
Other
Enumeration date
08/29/2013
Last updated
11/24/2021
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