Jean Marc R Boucicault is a licensed practical nurse in Queens Village, NY. The provider is a licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. Jean Marc R Boucicault NPI is 1396053500. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
21211 102ND AVE
APT C4
QUEENS VILLAGE, NY
ZIP 11429-106
Phone: (718) 468-8298
The enumeration date for this NPI number is 9/22/2010 and was last updated on 9/22/2010.