Nurse Practitioner, Family
JENNIFER BOUCHARD
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1881870129 · enumerated 2008-01-17 · record updated 2025-02-14. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Practice location 620 E CLEAR LAKE DR, FREMONT, IN, 46737-7204 (815) 412-4792 Google Maps Apple Maps OpenStreetMap
- Mailing address 620 E CLEAR LAKE DR, FREMONT, IN, 46737-7204 (812) 412-4792 Google Maps Apple Maps OpenStreetMap
Specialties
- Nurse Practitioner, Family 363LF0000X · Primary · License 209005520 IL
In this directory
Locations and evidence
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Practice location
FREMONT, IN, 467377204
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.