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

Mr. Jerome Bouie, RN, BSNCCRN

Individual provider Registered Nurse · NPI 1639523871

Mr. Jerome Bouie, RN, BSNCCRN is a Nurse Practitioner in Tacoma, Washington. Qualified in 2023, 3 years ago. Licensed in Washington.

Years since qualifying
3
Licensed in
WA
In the registry since
2016
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Partly verified

Some contact details are missing from the federal record.

Madigan Army Medical Ctr 9040 Jackson Ave Attn: Mchj-Clq-C
Tacoma, WA 98431-1100
Phone: (512) 689-5719
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence RN 60544953 (WA)

Record details

NPI number1639523871
Entity typeIndividual (Type 1)
GenderMale
Credentials RN , BSNCCRN
Sole proprietorNo
NPI enumeratedApril 13, 2016
Last updated in NPPESApril 13, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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