Individual
MRS. JIMI LEAH BOULET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
9900 BREN RD E, MINNETONKA, MN 55343-9664
(608) 332-6905
Mailing address
1712A CALIFORNIA AVE SW, SEATTLE, WA 98116-1903
(608) 332-6905
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
169703-030
WI
163W00000X
Registered Nurse
60404379-RN
WA
363L00000X
Nurse Practitioner
5396-33
WI
363L00000X
Nurse Practitioner
Primary
60616114-NP
WA
363LA2200X
Adult Health Nurse Practitioner
5396-33
WI
363LA2200X
Adult Health Nurse Practitioner
60616114-NP
WA
363LG0600X
Gerontology Nurse Practitioner
5396-33
WI
363LG0600X
Gerontology Nurse Practitioner
60616114-NP
WA
Other
Enumeration date
11/17/2010
Last updated
09/25/2020
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