Individual
JENNA LEVESQUE BOIVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP-BC
Contact information
Practice address
7777 FOREST LN STE C840, DALLAS, TX 75230-6868
(972) 566-7000
Mailing address
7777 FOREST LN STE C840, DALLAS, TX 75230-6868
(972) 566-7000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP139527
TX
363LP2300X
Primary Care Nurse Practitioner
Primary
AP139527
TX
Other
Enumeration date
03/05/2019
Last updated
08/11/2022
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