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

Jeffrey Loberiano Boucher, PMHNP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1124973938

Jeffrey Loberiano Boucher, PMHNP is a Psychiatric/Mental Health Nurse Practitioner in Old Town, Maine. Licensed in California. Registered with an NPI since 2026.

Licensed in
CA
In the registry since
2026
What do these letters mean?
PMHNP — Psychiatric-Mental Health Nurse Practitioner
A nurse practitioner specialising in mental health, able to prescribe psychiatric medication.

See every abbreviation used in this directory →

Practice location Address checks out

59 Davis St
Old Town, ME 04468-1337
Phone: (323) 898-9622
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 95038702 (CA)

Record details

NPI number1124973938
Entity typeIndividual (Type 1)
GenderMale
Credentials PMHNP
Sole proprietorNo
NPI enumeratedFebruary 27, 2026
Last updated in NPPESFebruary 27, 2026
Certification dateFebruary 27, 2026

Other providers in Old Town