Search › Tennessee › 208M00000X
Renee Boulicault, M.D
NPI 1639148422 · on the registry since 2006
Practice
- Address
- 105 W Park Dr
Kingsport, TN 37660 - Phone
- (423) 224-3220
- Organisation at this address
- Nashville Pharmacy Services Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 12
Additional practice sites
- 1601 E Broadway, Columbia, MO
- 3400 E Racine St, Janesville, WI
Registry record
- Primary taxonomy
- 208M00000X
208M00000X
- Also registered as
- 207V00000X
207V00000X
207V00000X - Licence states on file
- WI, MO, TN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-09-05
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 Tennessee