JENNA WOODALL BOURGEOIS
NPI 1366176083
Nurse Practitioner - Women's Health in Deep River, CT

NPI Status: Active since July 11, 2022

Contact Information

124 MAIN ST # 2
DEEP RIVER, CT
ZIP 06417
Phone: (860) 526-1756

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  • Individual
  • Female
  • Nurse Practitioner
  • Women's Health

About JENNA BOURGEOIS

This page provides the complete NPI Profile along with additional information for Jenna Bourgeois, a provider established in Deep River, Connecticut with a medical specialization in Nurse Practitioner, focusing in women's health . The healthcare provider is registered in the NPI registry with number 1366176083 assigned on July 2022. The practitioner's primary taxonomy code is 363LW0102X with license number 12.010268 (CT). The provider is registered as an individual and her NPI record was last updated 3 years ago.

NPI
1366176083
Provider Name
JENNA WOODALL BOURGEOIS
Gender
Female
Entity Type
Individual
Location Address
124 MAIN ST # 2 DEEP RIVER, CT 06417
Location Phone
(860) 526-1756
Mailing Address
156 WILLOW ST APT 1 NEW HAVEN, CT 06511
Mailing Phone
(203) 249-1361
Is Sole Proprietor?
No
Enumeration Date
07-11-2022
Last Update Date
07-11-2022
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A nurse practitioner (NP) like Jenna Bourgeois is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Women's Health

Taxonomy Code
363LW0102X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
12.010268
License State
CT

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1366176083
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
231262712016
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 2 + 6 + 2 + 7 + 1 + 2 + 0 + 1 + 6 + 24 = 57
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 57 = 33

The NPI number 1366176083 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1366176083, enumerated in the NPI registry as an "individual" on July 11, 2022

The provider is located at 124 Main St # 2 Deep River, Ct 06417 and the phone number is (860) 526-1756

The provider's speciality is Nurse Practitioner with taxonomy code 363LW0102X with a focus in Women's Health

This NPI record was last updated on July 11, 2022. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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