Individual
NICHOLAS BOULLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4026 N STATE ST, JACKSON, MS 39206-5754
(601) 813-3446
Mailing address
4026 N STATE ST, JACKSON, MS 39206-5754
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
28006
MS
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/27/2018
Last updated
08/11/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us