Molly Boudreaux, NP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

261QP2300X Issued in LA

Practice address

3920 Maplewood Dr
Sulphur, LA 70663-6352

Phone

(337) 476-5071

NPI assigned

Mar 3, 2025

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Tors Medical Clinic, LLC

  • Primary Care Clinic/Center
  • Sulphur, LA
  • NPI 1255010617
  NPD
• Tors Medical Clinic LLC

  • Primary Care Nurse Practitioner
  • Sulphur, LA
  • NPI 1386319259

  Single Specialty

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1740960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740960000000",
    "number": "1235937780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "741 LITTLE CHENIER RD",
            "city": "CREOLE",
            "state": "LA",
            "postal_code": "706322945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3920 MAPLEWOOD DR",
            "city": "SULPHUR",
            "state": "LA",
            "postal_code": "706636352",
            "telephone_number": "337-476-5071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUDREAUX",
        "first_name": "MOLLY",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-03",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "LA",
            "license": "261QP2300X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mindy Benoit
• Scott Eric Bergstedt, M.D.
• Jeffrey A Bertrand, DC
• Gary Joseph Blanchette, DDS
• Marcus A Boudreaux, FNP
• Marla Karr Bourgeois, RPH
• Madison Bourque, FNP-C
• Renee Bouzigard, LCSW
• Jared Brabham
• Braud Family Practice, LLC

• Primary Care Nurse Practitioner in Sulphur, LA
• Providers in Sulphur, LA by specialty
• Primary Care Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.