| Jessie Lyn Bouchard, MSN, APRN, FNP-C | |
|
701 George Washington Hwy Ste 104, Lincoln, RI 02865-4299 | |
| (401) 606-8052 | |
| Not Available |
| Full Name | Jessie Lyn Bouchard |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 701 George Washington Hwy Ste 104, Lincoln, Rhode Island |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609756469 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2080P0206X | Pediatrics - Pediatric Gastroenterology | APRN04714 (Rhode Island) | Secondary |
| 363L00000X | Nurse Practitioner | APRN04714 (Rhode Island) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jessie Lyn Bouchard, MSN, APRN, FNP-C 15 La Salle Sq, Providence, RI 02903-1814 Ph: (401) 444-6779 | Jessie Lyn Bouchard, MSN, APRN, FNP-C 701 George Washington Hwy Ste 104, Lincoln, RI 02865-4299 Ph: (401) 606-8052 |