JACQUELINE BOBOESCU PMHNP-BC NPI 1184466229

NPI Information

  • NPI: 1184466229
  • Provider Name: JACQUELINE BOBOESCU, PMHNP-BC
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 8769 N TERRITORIAL RD
    PLYMOUTH, MI
    ZIP 48170
  • Phone: (734) 679-7477

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NPI Details

Jacqueline Boboescu, PMHNP-BC is a psychiatric/mental health nurse practitioner in Plymouth, MI with 1 years of experience. Jacqueline Boboescu, PMHNP-BC NPI is 1184466229. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

8769 N TERRITORIAL RD
PLYMOUTH, MI
ZIP 48170-049
Phone: (734) 679-7477

The NPI 1184466229 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/10/2024 and was last updated on 6/10/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0808XNurse PractitionerPsychiatric/Mental Health4704330344MICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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