Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Abigail Grace Boucher, PA

Individual provider Physician Assistant · NPI 1710661368

Abigail Grace Boucher, PA is a Physician Assistant in Birmingham, Alabama. Licensed in Alabama. Registered with an NPI since 2023.

Licensed in
AL
In the registry since
2023
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

619 19th St S
Birmingham, AL 35233-1900
Phone: (205) 934-4011
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2317 (AL)

Record details

NPI number1710661368
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 14, 2023
Last updated in NPPESFebruary 26, 2024
Certification dateFebruary 26, 2024

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