MRS. JIMI LEAH BOULET NP
NPI 1902108376
Nurse Practitioner in Minnetonka, MN

Q: What is Jimi Boulet's NPI number?

The NPI number for Jimi Boulet is 1902108376. It was assigned to this individual provider in the NPPES registry on November 17, 2010.

Q: What is Jimi Boulet's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Jimi Boulet was last updated on September 25, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since November 17, 2010

9900 BREN RD E, MINNETONKA, MN 55343(608) 332-6905 Get Directions Write a Review

NPPES record last updated: September 25, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 25, 2020, Jan 26, 2017 (2 updates tracked since 2017).

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About Mrs. Jimi Leah Boulet Np NPPES

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

MRS. JIMI LEAH BOULET NP (NPI 1902108376) is an individual nurse practitioner in Minnetonka, Minnesota, licensed in Washington (60616114-NP) and active in the NPI registry since November 2010.

NPPES Registry Identity

NPI1902108376

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMRS. JIMI LEAH BOULETCredential: NP

Location Address9900 BREN RD EMinnetonka, MN 55343-9664

Mailing Address1712a California Ave SwSeattle, WA 98116-1903 · (608) 332-6905

Phone(608) 332-6905

Sole ProprietorYes

Enumeration DateNovember 17, 2010

Last NPPES UpdateSeptember 25, 20202 updates tracked since enumeration

NPPES CertifiedSeptember 25, 2020

✔ NPI 1902108376 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Licenses✔ Licensed in WA · 60616114-NP✔ Licensed in WI · 5396-33

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedRegistered NurseTaxonomy 163W00000X · License 169703-030 (WI), 60404379-RN (WA)

Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 5396-33 (WI), 60616114-NP (WA)

Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 5396-33 (WI), 60616114-NP (WA)

9900 BREN RD E, Minnetonka, MN 55343

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Other Providers at the Same Location NPPES 20

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

MAVIS OSEI YEBOAH NURSE PRACTITIONER

Nurse Practitioner