| Jennifer Harmon Boudreaux, | |
| 
					1441 Liberty St, Redding, CA 96001-0811  | |
| (530) 224-2700 | |
| (530) 224-2738 | 
| Full Name | Jennifer Harmon Boudreaux | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Family | 
| Location | 1441 Liberty St, Redding, California | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1275179012 | NPI | - | NPPES | 
| NP95013036 | Other | CA | BOARD OF REGISTERED NURSING | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | NP95013036 (California) | Primary | 
| Entity Name | Redding Rancheria | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1104859354 PECOS PAC ID: 7810969847 Enrollment ID: O20040810001377  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Jennifer Harmon Boudreaux, 1441 Liberty St, Redding, CA 96001-0811 Ph: (530) 224-2700  | Jennifer Harmon Boudreaux, 1441 Liberty St, Redding, CA 96001-0811 Ph: (530) 224-2700  | 
Taylor Jones, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1255 Liberty St, Redding, CA 96001 Phone: 530-246-2467  | |
Elaine Isabella Edwards, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1035 Placer St, Redding, CA 96001 Phone: 415-606-4501  | |
Kathleen Toney, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1035 Placer St, Redding, CA 96001 Phone: 530-246-5710 Fax: 530-241-7838  | |
Laurel Bennett, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 317 Lake Blvd Ste A, Redding, CA 96003 Phone: 530-337-5750  | |
Julie Schock, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1035 Placer St, Redding, CA 96001 Phone: 530-246-5710 Fax: 530-241-7838  | |
Kristin Marie Trevor, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1255 Liberty St, Redding, CA 96001 Phone: 530-246-2467 Fax: 530-242-9460  | |
Brian A Pongracz, ACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2624 Edith Ave, Redding, CA 96001 Phone: 530-806-1190 Fax: 530-229-7946  |