Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Jenna Woodall Bourgeois

Women's Health Nurse Practitioner in Deep River, CT · enumerated 2022.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1366176083

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Registry record

Entity type Individual (Type 1)

Name Jenna Woodall Bourgeois

Sex Female

Practice address 124 Main St # 2, Deep River, CT, 06417

Phone (860) 526-1756

Enumeration date Jul 11, 2022

Last updated in NPPES Jul 11, 2022

Taxonomy & licenses

363LW0102X Women's Health Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License 12.010268 (CT) Primary

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Is this the official NPI registry?

No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.

What specialty is Jenna Bourgeois?

Jenna Bourgeois is registered in NPPES with the primary taxonomy of Women's Health Nurse Practitioner. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-07-11.