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

MS. Nicole Lynn Boucher, CPNP-PC

Individual provider Pediatric Nurse Practitioner · NPI 1659674182

MS. Nicole Lynn Boucher, CPNP-PC is a Pediatric Nurse Practitioner in Brighton, Michigan. Licensed in Michigan. Registered with an NPI since 2010.

Licensed in
MI
In the registry since
2010

Practice location Address checks out

136 Kissane Ave Ste A
Brighton, MI 48116-2467
Phone: (810) 229-7337
Show map & directions

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

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence 4704195198 (MI)

Record details

NPI number1659674182
Entity typeIndividual (Type 1)
GenderFemale
Credentials CPNP-PC
Sole proprietorNo
NPI enumeratedDecember 5, 2010
Last updated in NPPESDecember 5, 2010

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