Individual
KELSEY BOUCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
18303 PERKINS RD E STE 304, BATON ROUGE, LA 70810-3939
(225) 236-5980
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
224774
LA
Other
Enumeration date
08/04/2022
Last updated
10/19/2022
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