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

Jenna Woodall Bourgeois

Individual provider Women's Health Nurse Practitioner · NPI 1366176083

Jenna Woodall Bourgeois is a Women's Health Nurse Practitioner in Deep River, Connecticut. Licensed in Connecticut. Registered with an NPI since 2022.

Licensed in
CT
In the registry since
2022

Practice location Address checks out

124 Main St # 2
Deep River, CT 06417-1756
Phone: (860) 526-1756
Show map & directions

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

Specialties & licences

Women's Health Nurse Practitioner (primary) Taxonomy 363LW0102X · Licence 12.010268 (CT)

Record details

NPI number1366176083
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 11, 2022
Last updated in NPPESJuly 11, 2022
Certification dateMay 24, 2022