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 |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner - Family |
|---|
| Location | 620 E Clear Lake Dr, Fremont, Indiana |
|---|
| 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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