Johnson Boucher, Melissa A

Johnson Boucher, Melissa A is an sole proprietor health care provider with primary practice located at 1245 Ardmore St , Saint Augustine FL 32092-3441. She recently has only one registered license in Nursing Service Related Providers / Attendant Care Provider, which is considered as her primary health care specialty. Johnson Boucher, Melissa A can be contacted via phone (631) 374-9793.

Contact Information

Primary practice address
1245 Ardmore St Saint Augustine FL 32092-3441
Phone: (631) 374-9793
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Attendant Care Provider 3747A0650X Florida

Profile Details

NPI number 1154027761
LBN Legal business name Johnson Boucher, Melissa A
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 6th, 2023
Last updated Feb 6th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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