Individual
MS. VICKIE L BOUCHILLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1968 PEACHTREE RAOD NW, ATLANTA, GA 30309-1218
(678) 202-2074
(770) 590-1442
Mailing address
PO BOX 551420, FORT LAUDERDALE, FL 33355-1420
(800) 243-3839
(954) 839-2569
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN039767
GA
367500000X
Certified Registered Nurse Anesthetist
Primary
RN039767
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000718825J
—
GA
Enumeration date
07/15/2006
Last updated
04/12/2026
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