Nurse Practitioner, Pediatrics
JENNIFER BOUDREAUX MSN, CPNP-PC, PMHS
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 Plan acceptance stays unpublished until the practice reports it.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 1790038495 · enumerated 2012-10-18 · record updated 2023-11-28. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Practice location 33 N CENTRAL AVE STE 317, MEDFORD, OR, 97501-5939 (541) 227-2808 Fax (541) 227-2807 Google Maps Apple Maps OpenStreetMap
- Mailing address 104 CHERRYBARK DR, JACKSONVILLE, NC, 28540-9360 (541) 324-3648 Fax (541) 227-2807 Google Maps Apple Maps OpenStreetMap
Specialties
- Nurse Practitioner, Psych/Mental Health 363LP0808X · License 201350098NP OR
- Nurse Practitioner, Pediatrics 363LP0200X · Primary · License 201350098NP OR
In this directory
Locations and evidence
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Practice location
MEDFORD, OR, 975015939
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.