Search › Michigan › 363LA2200X
Jennifer Bouck, AGNP-C
NPI 1427507953 · on the registry since 2016
Practice
- Address
- G3525 S Saginaw St
Burton, MI 48529 - Phone
- (810) 222-3040
- Organisation at this address
- Goodwill Optical Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 8
Registry record
- Primary taxonomy
- 363LA2200X
363LA2200X
- Also registered as
- 363LG0600X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-12-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan