Jessica Boucher Hurlbert
Individual provider Active NPI Athletic Trainer · Northfield, VT
NPI 1770064495 · NPPES record last updated Aug 22, 2018
Key facts
- NPI
- 1770064495
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- 104.0127549 (VT)
- Practice address
- 158 Harmon Dr
Northfield, VT 05663-1035 - Phone
- (802) 485-3044
- NPI assigned
- Aug 22, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 104.0127549 | VT | MD | Athletic Trainer |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 104.0127549 | VT | Yes |
Addresses
Primary practice location
158 Harmon Dr
Northfield, VT 05663-1035
Mailing address
51 Martin Meadow Rd
Plainfield, VT 05667-9424
Phone (802) 585-0881
Other providers in Northfield, VT
- Megan Hale
- Addison Anne Hall
- Christopher E. Henderson
- Peter Bert Henry
- Timothy Hodges Jr.
- Lisa Eve Hurwitz
- Donald F Hutchins
- Blake Vicent Ireland
- Abigail Joyal
- Emma Kirn
All providers in Northfield, VT · Athletic Trainer in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.