person
Ms. Chandra Anita Boston, CFPMHNP
Psychiatric/Mental Health Nurse Practitioner in Jackson, Mississippi
NPI 1043249295

Chandra Anita Boston is a Psychiatric/Mental Health Nurse Practitioner based in Whitfield, MS and is specialized in Psychiatric/Mental Health. Chandra Anita Boston practices in Jackson, MS and has the professional credentials of CFPMHNP. The NPI Number for Chandra Anita Boston is 1043249295 and holds a License No. R772275 (Mississippi).

The current practice location address for Chandra Anita Boston is 2500 North State Street, Jackson, MS and can be reached out via phone at 601-815-4128 and via fax at 601-815-1828. You can also correspond with Chandra Anita Boston through the mailing address at PO BOX 157A, WHITFIELD, MS - 39193-0157 (mailing address contact number: 601-351-8000).

Location: 2500 North State Street, Jackson, MS, 39193-0157
person
Provider Profile Details
NPI Number
1043249295
Provider Name
Chandra Anita Boston
Credential
CFPMHNP
Provider Entity Type
Individual
Gender
Female
Address
2500 North State Street, Jackson, MS, 39193-0157
Phone Number
601-815-4128
Fax Number
601-815-1828
Provider Enumeration Date
07/01/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
09528347 05 MS
institution
Provider Business Practice Location Address Details
Address
2500 North State Street
City
State
Zip
39216-4500
Phone Number
601-815-4128
Fax Number
601-815-1828
person
Provider Business Mailing Address Details
Address
2500 North State Street
City
State
Zip
39216-4500
Phone Number
601-815-4128
Fax Number
601-815-1828
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
R772275 (Mississippi)
Definition
Definition to come...
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