MRS. MELISSA A JOHNSON BOUCHER
NPI 1154027761
Technician - Attendant Care Provider in Saint Augustine, FL
- Individual
- Female
- Technician
- Attendant Care Provider
About MELISSA JOHNSON BOUCHER
This page provides the complete NPI Profile along with additional information for Melissa Johnson Boucher, a provider established in Saint Augustine, Florida with a medical specialization in Technician, focusing in attendant care provider . The healthcare provider is registered in the NPI registry with number 1154027761 assigned on February 2023. The practitioner's primary taxonomy code is 3747A0650X. The provider is registered as an individual and her NPI record was last updated 3 years ago.
- NPI
- 1154027761 Verify this NPI
- Provider Name
- MRS. MELISSA A JOHNSON BOUCHER
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1245 ARDMORE ST SAINT AUGUSTINE, FL 32092
- Location Phone
- (631) 374-9793
- Mailing Address
- 1245 ARDMORE ST SAINT AUGUSTINE, FL 32092
- Mailing Phone
- (631) 374-9793
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 02-06-2023
- Last Update Date
- 02-06-2023
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Technician Attendant Care Provider
- Taxonomy Code
- 3747A0650X
- Type
- Nursing Service Related Providers
- License State
- FL
- Taxonomy Description
- 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.
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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.