JEAN MARC R BOUCICAULT
NPI 1396053500
Licensed Practical Nurse in Queens Village, NY

Q: What is Jean Marc Boucicault's NPI number?

The NPI number for Jean Marc Boucicault is 1396053500. It was assigned to this individual provider in the NPPES registry on September 22, 2010.

Q: What is Jean Marc Boucicault's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Active since September 22, 2010

21211 102ND AVE, APT C4, QUEENS VILLAGE, NY 11429(718) 468-8298 Get Directions Write a Review

NPPES record last updated: September 22, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jean Marc R Boucicault NPPES

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

JEAN MARC R BOUCICAULT (NPI 1396053500) is an individual licensed practical nurse in Queens Village, New York, licensed in New York (301439) and active in the NPI registry since September 2010.

NPPES Registry Identity

NPI1396053500

Entity TypeIndividualMale

Primary Taxonomy164W00000X

Provider Legal NameJEAN MARC R BOUCICAULT

Location Address21211 102ND AVE, APT C4Queens Village, NY 11429-1106

Mailing Address21211 102nd Ave, Apt C4Queens Village, NY 11429-1106 · (718) 468-8298

Phone(718) 468-8298

Sole ProprietorNo

Enumeration DateSeptember 22, 2010

✔ NPI 1396053500 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in NY · 301439

Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

21211 102ND AVE, Queens Village, NY 11429

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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GERTHA BOUCICAULT

Nurse Practitioner (Family)

21211 102ND AVE, APT. C4
QUEENS VILLAGE, NY 11429

Queens County (718) 468-8298

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 Jean Marc Boucicault's NPI number?

The NPI number for Jean Marc Boucicault is 1396053500. It was assigned to this individual provider in the NPPES registry on September 22, 2010.

Where is Jean Marc Boucicault located?

Jean Marc Boucicault practices at 21211 102nd Ave Apt C4, Queens Village, NY 11429. The listed phone number is (718) 468-8298.

What is Jean Marc Boucicault's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Jean Marc Boucicault was last updated on September 22, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.