Dr. Nicholas Boullard , MD
General Practice • Jackson, MS
Professional Overview & Biography Verified Profile Summary
Dr. Nicholas Boullard, MD is a registered healthcare professional specializing in General Practice in Jackson, MS. Practice services are available at 4026 N STATE ST under active NPI credentials.
Practice Location & Contact Primary Location
4026 N State St
Jackson, MS 392065754
Specialty Benchmarks & Practice Insights
Comparative analytics for General Practice in Jackson, MS
Practicing in Jackson, MS (91 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
CMS Verified: 2021-08-11NUCC Taxonomy Code: 208D00000X
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
NUCC Taxonomy Code: 390200000X
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Secondary Practice Locations
1514 Jefferson Hwy
Jefferson, LA 701212429
Phone: 8666247637
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Student in an Organized Health Care Education/Training Program
Registered at 4026 N STATE ST, JACKSON, MS 392065754 (Tel: 6018133446)
Registered at 4026 N STATE ST, JACKSON, MS 392065754
Recorded as NICHOLAS BOULLARD, MD
General Practice (License #28006 in MS)
NPI status registered as active in NPPES database
Registered at 1514 JEFFERSON HWY, JEFFERSON, LA 701212429 (Tel: 8666247637)
Registered at 4740 S I 10 SERVICE RD W STE 120, METAIRIE, LA 700011214 (Tel: 5049885458)
Recorded as NICHOLAS BOULLARD
Student in an Organized Health Care Education/Training Program
First registered as active Individual Practitioner in NPPES Database.
Patient & Community Reviews
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NPI Administrative Meta
Mailing Address
4026 N State St
Jackson, MS 392065754
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