Doctor profile · Federal record
Dr. Nicholas Boullard, MD
General Practice Physician · Student in an Organized Health Care Education/Training Program · Jackson, MS
- NPI 1811492309
- 8 yrs on file
- Male
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
4026 N State St
Jackson, MS 392065754
(601) 813-3446 - Additional location
-
1514 Jefferson Hwy
Jefferson, LA 701212429
(866) 624-7637
Credentials & registration
- NPI registered
- March 2018 — 8 yrs on file
- Profile last updated
- August 11, 2021
- Specialty taxonomy
- 208D00000X — NUCC code
- State license (1)
- Mississippi #28006
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1811492309. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$20
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Merck Sharp & Dohme LLC | 1 | $20.10 |
By nature of payment
Frequently asked questions
What is Dr. Nicholas Boullard's medical specialty?
Dr. Nicholas Boullard practices General Practice Physician in Jackson, MS.
Where does Dr. Nicholas Boullard practice?
Dr. Nicholas Boullard practices at 4026 N State St, Jackson, MS 392065754. Office phone: 6018133446.
What is Dr. Nicholas Boullard's NPI?
Dr. Nicholas Boullard's National Provider Identifier (NPI) is 1811492309, issued by NPPES.