Jennifer Bouchard, is a
Nurse Practitioner - Family based in Fremont, Indiana. Jennifer Bouchard is licensed to practice in Illinois (license number 209005520) and her current practice location is
620 E Clear Lake Dr, Fremont, Indiana. She can be reached at her office (for appointments etc.) via phone at
(815) 412-4792.
NPI number for Jennifer Bouchard is 1881870129 and her current mailing address is 620 E Clear Lake Dr, Fremont, Indiana. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1881870129.
Provider's Profile
Full Name | Jennifer Bouchard |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 620 E Clear Lake Dr, Fremont, Indiana |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1881870129
- Provider Enumeration Date: 01/17/2008
- Last Update Date: 02/14/2025
Medical Identifiers
Medical identifiers for Jennifer Bouchard such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1881870129 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 209005520 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jennifer Bouchard is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jennifer Bouchard, 620 E Clear Lake Dr, Fremont, IN 46737-7204 Ph: (812) 412-4792 | Jennifer Bouchard, 620 E Clear Lake Dr, Fremont, IN 46737-7204 Ph: (815) 412-4792 |
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