JENNIFER A BOUCK

BURTON, MI
NPI1427507953
Former NameJENNIFER A LESZCZYNSKI
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: MI  4704231616)
Additional Taxonomies363LG0600X Nurse Practitioner, Gerontology
(Licence: MI  4704231616)
Enumeration Date2016-09-26
Last Update Date2023-12-06
Business Address
JENNIFER A BOUCK AGNP-C
G3525 S SAGINAW ST
BURTON, MI 48529-1260
Phone number: 810-222-3040
Mailing Address
JENNIFER A BOUCK AGNP-C
PO BOX 746723
ATLANTA, GA 30374-6723
Phone number: 312-733-9730