Boggs, Jessica E.

Boggs, Jessica E. is an individual health care provider with primary practice located at 1100 E Montclair St , Springfield MO 65807-5076. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Boggs, Jessica E. can be contacted via phone (417) 820-8500.

Contact Information

Primary practice address
1100 E Montclair St Springfield MO 65807-5076
Phone: (417) 820-8500
Fax: (417) 820-8532
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 2015034077 Missouri

Profile Details

NPI number 1255704599
LBN Legal business name Boggs, Jessica E.
Credentials ANP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2015
Last updated Jan 18th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255704599 NPPES
Missouri MEDICAID 1255704599

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