Individual
SAMANTHA BOUCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
8 CITY BLVD STE 300, NASHVILLE, TN 37209-2560
(615) 329-6600
(615) 321-6226
Mailing address
PO BOX 306556, NASHVILLE, TN 37230-6556
(615) 329-2294
(615) 695-1494
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3422
TN
Other
Enumeration date
10/30/2017
Last updated
10/12/2023
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