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Jeffrey W Bouley, FNP-C

Nurse Practitioner, Family in Wakefield, RI. Individual provider (NPI-1).

NPI number1104440965
StatusActive
Last updated in NPPESJun 20, 2025

Details

NPI
1104440965
Entity type
Individual (NPI-1)
Name
Mr. Jeffrey W Bouley
Credential
FNP-C
Sex
Male
Sole proprietor
No
Enumeration date
Jun 7, 2020
Certification date
Jun 20, 2025
Last updated
Jun 20, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, FamilyAPRN02341RIYes

Practice location

1 River St
Wakefield, RI 02879-3214

Phone 401-783-0523 · Fax 401-783-9448

Mailing address

1 River St
Wakefield, RI 02879-3214

Phone 401-783-0523 · Fax 401-783-9448

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