Nicholas Boullard, MD is a general practice in Jackson, MS. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Source: National Uniform Claim Committee Nicholas Boullard, MD NPI is 1811492309. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
4026 N STATE ST
JACKSON, MS
ZIP 39206-754
Phone: (601) 813-3446
The NPI 1811492309 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 3/27/2018 and was last updated on 8/11/2021.