Nicholas Boullard, MD
Nicholas Boullard, MD is a Student in an Organized Health Care Education/Training Program in Jackson, Mississippi. Works from 2 locations. Licensed in Mississippi.
- Licensed in
- MS
- In the registry since
- 2018
- Specialties on file
- 2
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
Jackson, MSNo coordinates on file. Search this address in Google Maps
Additional practice locations (1)
- 1514 Jefferson Hwy, Jefferson, LA 70121-2429 — (866) 624-7637
Specialties & licences
| General Practice Physician (primary) | Taxonomy 208D00000X · Licence 28006 (MS) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1811492309 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | March 27, 2018 |
| Last updated in NPPES | August 11, 2021 |
| Certification date | August 11, 2021 |
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