Individual
JACOB BOUDREAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
509 BILTMORE AVE, ASHEVILLE, NC 28801-4601
(828) 213-1111
Mailing address
509 BILTMORE AVE, ASHEVILLE, NC 28801-4601
(828) 213-1111
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
5427
NC
367500000X
Certified Registered Nurse Anesthetist
C-APN.0004324-C-CRNA
CO
Other
Enumeration date
05/26/2016
Last updated
02/12/2025
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