Boutwell, Jennifer R

Boutwell, Jennifer R is an sole proprietor health care provider with primary practice located at 303 Marion Ave , Mccomb MS 39648-2707. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Boutwell, Jennifer R can be contacted via phone (601) 249-1350.

Contact Information

Primary practice address
303 Marion Ave Mccomb MS 39648-2707
Phone: (601) 249-1350
Fax: (601) 249-1339
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X R880925 Mississippi

Profile Details

NPI number 1184958969
LBN Legal business name Boutwell, Jennifer R
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 25th, 2009
Last updated Sep 25th, 2009 - about 16 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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