| Doctor Name: | JENNIFER BOUSO |
| NPI Number: | 1093120966 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | TRN20430 |
| Business Practice Address: | 1657 Trinity Dr Pensacola, FL - 325045708 |
| Business Phone Number: | 8504167710 |
| Business Fax Number: | |
| Mailing Address: | 5153 N 9th Ave, 6th Floor Nemours PENSACOLA |
| State: | FL |
| Postal Code: | 325048785 |
| Phone Number: | 8504167658 |
| Fax Number: | 8504167677 |
| NPI Enumeration Date: | 06/30/2014 |
| NPI Last Update Date: | 06/30/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208000000X |
| License Number: | TRN20430 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Pediatrics |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |