MRS. MELISSA A JOHNSON BOUCHER
NPI 1154027761
Technician - Attendant Care Provider in Saint Augustine, FL

Active since February 06, 2023
1245 ARDMORE ST, SAINT AUGUSTINE, FL 32092(631) 374-9793 Get Directions Write a Review

NPPES record last updated: February 6, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mrs. Melissa A Johnson Boucher NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. MELISSA A JOHNSON BOUCHER (NPI 1154027761) is an individual attendant care provider provider in Saint Augustine, Florida and active in the NPI registry since February 2023.

NPPES Registry Identity

NPI1154027761
Entity TypeIndividualFemale
Primary Taxonomy3747A0650X
Provider Legal NameMRS. MELISSA A JOHNSON BOUCHER
Location Address1245 ARDMORE STSaint Augustine, FL 32092-3441
Mailing Address1245 Ardmore StSaint Augustine, FL 32092-3441 · (631) 374-9793
Sole ProprietorYes
Enumeration DateFebruary 6, 2023
NPPES CertifiedFebruary 5, 2023
NPI 1154027761 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyTechnician · Attendant Care ProviderNursing Service Related Providers
Taxonomy Code3747A0650X
Definition

An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law.

1245 ARDMORE ST, Saint Augustine, FL 32092

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154027761, enumerated as an "individual" on February 06, 2023.

The provider is located at 1245 ARDMORE ST SAINT AUGUSTINE, FL 32092 and the phone number is (631) 374-9793.

Technician with taxonomy code 3747A0650X and a focus in Attendant Care Provider.