Individual
JENNIFER A BOUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP-C
Contact information
Practice address
G3525 S SAGINAW ST, BURTON, MI 48529-1260
(810) 222-3040
Mailing address
PO BOX 746723, ATLANTA, GA 30374-6723
(312) 733-9730
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
4704231616
MI
363LG0600X
Gerontology Nurse Practitioner
4704231616
MI
Other
Enumeration date
09/26/2016
Last updated
12/06/2023
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