Dr. Jennifer L Bolduc , MD
Pediatrics • Walla Walla, WA
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Jennifer Bolduc has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Jennifer Bolduc, MD was a registered Pediatrics practicing in Walla Walla, WA. Throughout an active medical career spanning 18 years, Dr. Bolduc provided care at the practice location at 55 W TIETAN ST until profile deactivation on 2024-10-11.
Practice Location & Contact Primary Location
55 W Tietan St
Walla Walla, WA 993624445
Specialty Benchmarks & Practice Insights
Comparative analytics for Pediatrics in Walla Walla, WA
Practicing in Walla Walla, WA (1802 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 208000000X
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Family Medicine
Doctor of Medicine (M.D.)
Physician Assistant - Medical
PHYSICIANASSISTANT
Family Medicine - Adult Medicine
Doctor of Osteopathic Medicine (D.O.)
Family Medicine
Doctor of Osteopathic Medicine (D.O.)
Pediatrics
Doctor of Medicine (M.D.)
Pediatrics
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on October 11, 2024
NPI status registered as active in NPPES database
Registered at 55 W TIETAN ST, WALLA WALLA, WA 993624445 (Tel: 5095253720)
Registered at 55 W TIETAN ST, WALLA WALLA, WA 993624445 (Tel: 5095253720)
Recorded as JENNIFER BOLDUC, M.D.
Pediatrics (License #MD00042057 in WA)
First registered as active Individual Practitioner in NPPES Database.
Patient & Community Reviews
Verified patient ratings, medical care experiences, and facility photos
Sign in to leave a review for Dr. Jennifer Bolduc
Only verified registered users can submit ratings, post feedback, and upload facility photos.
NPI Administrative Meta
Mailing Address
55 W Tietan St
Walla Walla, WA 993624445
Phone: 5095253720
This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.