Individual
DR. BILLIE JO BOUGHTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
3322 SILVERSIDE RD, WILMINGTON, DE 19810-3307
(302) 478-8889
(302) 478-1321
Mailing address
3322 SILVERSIDE RD, WILMINGTON, DE 19810-3307
(302) 478-8889
(302) 478-1321
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
LP-0000286
DE
Other
Enumeration date
01/10/2019
Last updated
01/10/2019
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