Jennifer S Boucher, NP | |
19020 Fort St, Riverview, MI 48193-6701 | |
(734) 362-5100 | |
(734) 362-5147 |
Full Name | Jennifer S Boucher |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 19020 Fort St, Riverview, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861583494 | NPI | - | NPPES |
4704180289 | Other | MI | NP SPECIALTY BOARD CERT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 4704180289 (Michigan) | Primary |
Entity Name | Henry Ford Health System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104900455 PECOS PAC ID: 0547178311 Enrollment ID: O20031210000341 |
Mailing Address | Practice Location Address |
---|---|
Jennifer S Boucher, NP 19020 Fort St, Riverview, MI 48193-6701 Ph: (734) 362-5100 | Jennifer S Boucher, NP 19020 Fort St, Riverview, MI 48193-6701 Ph: (734) 362-5100 |
Kristi Kostoff, WHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 14700 King Rd Ste C, Riverview, MI 48193 Phone: 734-479-2100 | |
Nora S Creighton, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 19020 Fort St, Riverview, MI 48193 Phone: 734-362-5100 Fax: 734-362-5147 | |
Ms. Bethany Eilers, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 14550 Shenandoah Dr, Riverview, MI 48193 Phone: 313-515-0406 | |
Ashlie Head, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 19020 Fort St, Riverview, MI 48193 Phone: 734-362-5100 | |
Amity Lynn Bates, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 19020 Fort St, Riverview, MI 48193 Phone: 734-362-5100 | |
Mrs. Sarah Jane Patterson, WHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 14700 King Rd, Suite C, Riverview, MI 48193 Phone: 734-479-2100 | |
Trisha Thomas Tucker, AGACNP-BC, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 18580 Fort St, Riverview, MI 48193 Phone: 734-479-8800 |