P Praxis·MD
● Active Type 1 · Individual

Nicole Rose Boudeau

Student in an Organized Health Care Education/Training Program·Evans, GA· NPI 1336932607 · Enumerated 2025 · 0 years on NPI
Boudeau is 1 of 8 student in an organized health care education/training program providers in Evans and 1 of 6569 in Georgia.
NPI age
— years
Enumerated 2025-05-28
Primary specialty
Student in an Organized Health Care Education/Training Program
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-05-28
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 6569 active student in an organized health care education/training program providers in Georgia.

NPI age
0 years
↓ 2 yr below median (2 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
6% of peers hold subspecialties

NPI lifetime · 2025 → 2026

2025-05Enumerated in NPPES
2025 2026

Where they practice

Practice location
4191 Hannahs Xing
Evans, GA 308098013
📞 7067991340
Mailing address
4191 Hannahs Xing
Evans, GA 308098013

Specialties

  • Student in an Organized Health Care Education/Training Program Primary
    An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
    taxonomy 390200000X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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