Jennifer Katharine Boudreaux, MSN, CPNP-PC, PMHS - Nurse Practitioner in Medford, OR

Jennifer Katharine Boudreaux, MSN, CPNP-PC, PMHS is a Nurse Practitioner - Pediatrics based in Medford, Oregon. Jennifer Katharine Boudreaux is licensed to practice in Oregon (license number 201350098NP) and her current practice location is 33 N Central Ave Ste 317, Medford, Oregon. She can be reached at her office (for appointments etc.) via phone at (541) 227-2808.

NPI number for Jennifer Katharine Boudreaux is 1790038495 and her current mailing address is 104 Cherrybark Dr, Jacksonville, North Carolina. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1790038495.

Contact Information

Jennifer Katharine Boudreaux, MSN, CPNP-PC, PMHS
33 N Central Ave Ste 317,
Medford, OR 97501-5939
(541) 227-2808
(541) 227-2807

Map and Direction




Provider's Profile

Full NameJennifer Katharine Boudreaux
GenderFemale
SpecialityNurse Practitioner - Pediatrics
Location33 N Central Ave Ste 317, Medford, Oregon
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1790038495
  • Provider Enumeration Date: 10/18/2012
  • Last Update Date: 11/28/2023

Medical Identifiers

Medical identifiers for Jennifer Katharine Boudreaux such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1790038495NPI-NPPES
500657026MedicaidOR

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 201350098NP (Oregon)Secondary
363LP0200XNurse Practitioner - Pediatrics 201350098NP (Oregon)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 Katharine Boudreaux 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 AddressPractice Location Address
Jennifer Katharine Boudreaux, MSN, CPNP-PC, PMHS
104 Cherrybark Dr,
Jacksonville, NC 28540-9360

Ph: (541) 324-3648
Jennifer Katharine Boudreaux, MSN, CPNP-PC, PMHS
33 N Central Ave Ste 317,
Medford, OR 97501-5939

Ph: (541) 227-2808

Reviews and Comments


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