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

Jonathon Boulis

Individual provider Community Health Worker · NPI 1356052807

Jonathon Boulis is a Community Health Worker in Owosso, Michigan. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

1634 Lynn St
Owosso, MI 48867-3342
Phone: (989) 627-7242
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community Health Worker (primary) Taxonomy 172V00000X

Record details

NPI number1356052807
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 6, 2022
Last updated in NPPESDecember 6, 2022
Certification dateDecember 6, 2022
Mailing address1634 Lynn St, Owosso, MI 48867-3342

Other providers in Owosso