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Douglas Bouldin, FNP-C
NPI 1770568727 · on the registry since 2005
Practice
- Address
- 13353 Olive Blvd
Chesterfield, MO 63017 - Phone
- (636) 473-8873
- Organisation at this address
- Jwb Chiropractic Pc
Bluetail Medical Group, Llc.
Integrated Medicine And Chiropractic Regeneration Center OInferred from a shared address, not stated in the registry. - Clinicians at this address
- 11
Registry record
- Primary taxonomy
- Nurse Practitioner
363L00000X
- Also registered as
- Family Nurse Practitioner
- Licence states on file
- MO, KY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-03-16
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 Missouri