MR. JERRY PAUL BOUDREAUX L C S W
NPI 1366515702
Social Worker - Clinical in Gulfport, MS
About Mr. Jerry Paul Boudreaux L C S W NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. JERRY PAUL BOUDREAUX L C S W (NPI 1366515702) is an individual clinical provider in Gulfport, Mississippi, licensed in Mississippi (0058) and active in the NPI registry since November 2006.
NPPES Registry Identity
Specialties & Licenses
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GULFPORT, MS 39507
GULFPORT, MS 39507
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jerry Boudreaux's NPI number?
The NPI number for Jerry Boudreaux is 1366515702. It was assigned to this individual provider in the NPPES registry on November 15, 2006.
Where is Jerry Boudreaux located?
Jerry Boudreaux practices at 549 E Pass Rd Suite P, Gulfport, MS 39507. The listed phone number is (228) 896-9251.
What is Jerry Boudreaux's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
When was this NPI record last updated?
The NPPES record for Jerry Boudreaux was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.