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Contact Information

JESSIE L BOUCHARD, MSN, APRN, FNP-C
701 GEORGE WASHINGTON HWY STE 104
LINCOLN, RI02865-4299
 Phone: 401-606-8052
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Pediatric Gastroenterology

2080P0206X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for JESSIE L BOUCHARD · (Female)

NPI Number 1609756469
Status Active
Credentials MSN, APRN, FNP-C
Entity Individual
Enumeration date 09/03/2025
Last updated 01/23/2026 - About 4 months ago
Sole proprietor 1 No
Identifiers
  • RI License # APRN04714
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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