Jennifer Katharine Boudreaux
MSN, CPNP-PC, PMHS | Nurse Practitioner - Psych/Mental Health
33 N Central Ave Ste 317, Medford
Oregon, 97501-5939
541-227-2808
Jennifer Katharine Boudreaux is a Medford, Oregon based nurse practitioner who is specialized as Psych/Mental Health NP. Active license number of Jennifer Katharine Boudreaux is 201350098NP for Pediatrics NP in Oregon. Her current practice location is 33 N Central Ave Ste 317, Medford. Patients can reach her at 541-227-2808 or can fax her at 541-227-2807. Jennifer Katharine Boudreaux is MSN, CPNP-PC, PMHS with specialization in Psych/Mental Health NP and her NPI number (Unique professional ID assigned by NPPES) is 1790038495.
Jennifer Katharine Boudreaux provides a full range of primary mental health care services, including biopsychosocial assessment and diagnosis of patients with mental illness and co-occurring disorders. Treatment modalities include both medication and psychotherapeutic management. Psych/Mental Health Nurse Practitioner (PMHNP) works in a variety of settings, including inpatient, emergency and community-based mental health services.
Complete Profile:
Jennifer Katharine Boudreaux speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Jennifer Katharine Boudreaux |
| Specialization: | Nurse Practitioner - Psych/Mental Health (PMHNP) |
| Gender: | Female |
| Credentials: | MSN, CPNP-PC, PMHS |
| Practice Address: | 33 N Central Ave Ste 317, Medford,
Oregon, 97501-5939 |
| Phone: | 541-227-2808 |
| Fax: | 541-227-2807 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1790038495 |
| NPI Enumeration Date: | 18 Oct, 2012 |
| NPI Last Update On: | 28 Nov, 2023 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jennifer Katharine Boudreaux are as mentioned below.
| License Number | Specialization | State | Status | |
| 201350098NP | Pediatrics NP | Oregon | Primary | |
| 201350098NP | Psych/Mental Health NP | Oregon | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Jennifer Katharine Boudreaux such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 500657026 | Medicaid | Oregon | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Jennifer Katharine Boudreaux
104 Cherrybark Dr,
Jacksonville, North Carolina |
| Zip: | 28540-9360 |
| Phone Number: | 541-324-3648 |
| Fax Number: | 541-227-2807 |
Patients can reach Jennifer Katharine Boudreaux at
33 N Central Ave Ste 317, Medford, Oregon or can
call to book an appointment on 541-227-2808.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.