Boynton, Jennifer

Boynton, Jennifer is an individual health care provider with primary practice located at 4293 Kinsey Dr , Tyler TX 75703-1004. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Boynton, Jennifer can be contacted via phone (903) 592-5670.

Contact Information

Primary practice address
4293 Kinsey Dr Tyler TX 75703-1004
Phone: (903) 592-5670
Fax: (903) 363-9207
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 601298 Texas
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP108939 Texas

Profile Details

NPI number 1780712257
LBN Legal business name Boynton, Jennifer
Credentials FNP, CNM
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2007
Last updated Jun 7th, 2021 - about 4 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 1780712257 NPPES
Texas MEDICAID 036809402
Texas Other 883N39
Texas Other 8N3631
Texas Other 45-2578435-002
Texas MEDICAID 036809403
Texas Other 45-2578435-001

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