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

Jordan Lynn Boucher, RD

Individual provider Registered Dietitian · NPI 1215310669

Jordan Lynn Boucher, RD is a Registered Dietitian in Brockton, Massachusetts. Licensed in Washington. Registered with an NPI since 2015.

Licensed in
WA
In the registry since
2015
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.

See every abbreviation used in this directory →

Practice location Address checks out

110 Liberty St Ste 2A
Brockton, MA 02301-5674
Phone: (508) 894-0766
Fax: (508) 565-0097
Show map & directions

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

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence DI 60543717 (WA)

Record details

NPI number1215310669
Entity typeIndividual (Type 1)
GenderFemale
Credentials RD
Sole proprietorNo
NPI enumeratedJuly 2, 2015
Last updated in NPPESMay 4, 2020
Certification dateMay 4, 2020

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