Randi Nicole Bouchillon is a Fort Washington, Maryland based nurse practitioner. Active license number of Randi Nicole Bouchillon is R244896 for Family in Maryland. Her current practice location is 12807 Old Fort Rd Ste 101, Fort Washington. Patients can reach her at 301-292-7400. Randi Nicole Bouchillon is DNP, FNP-C and her NPI number (Unique professional ID assigned by NPPES) is 1437888138. Randi Nicole Bouchillon has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Randi Nicole Bouchillon speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Randi Nicole Bouchillon
Specialization:
Nurse Practitioner (NP)
Gender:
Female
Credentials:
DNP, FNP-C
Practice Address:
12807 Old Fort Rd Ste 101, Fort Washington, Maryland, 20744-2876
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:
1437888138
NPI Enumeration Date:
08 Jun, 2022
NPI Last Update On:
29 Sep, 2025
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Randi Nicole Bouchillon are as mentioned below.
License Number
Specialization
State
Status
R244896
Family
Maryland
Primary
R244896
Registered Nurse
Maryland
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Randi Nicole Bouchillon such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
815444357
Medicaid
Maryland
R244896
Other
Maryland
RN
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Randi Nicole Bouchillon 23120 Pond Point Farm Ln, Chaptico, Maryland
Zip:
20621-2424
Phone Number:
240-717-9661
Patients can reach Randi Nicole Bouchillon at 12807 Old Fort Rd Ste 101, Fort Washington, Maryland or can call to book an appointment on 301-292-7400.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.