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Ms. Jennifer Boose, NP
Family Nurse Practitioner in Canton, Mississippi
NPI 1417351883

Jennifer Boose is a Family Nurse Practitioner based in Canton, MS and is specialized in Family. Jennifer Boose practices in Canton, MS and has the professional credentials of NP. The NPI Number for Jennifer Boose is 1417351883 and holds a License No. R869554 (Mississippi).

The current practice location address for Jennifer Boose is 3089 S Liberty St, Canton, MS and can be reached out via phone at 601-813-5249.

Location: 3089 S Liberty St, Canton, MS, 39046-2912
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417351883
Provider Name
Jennifer Boose
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
3089 S Liberty St, Canton, MS, 39046-2912
Phone Number
601-813-5249
Fax Number
Provider Enumeration Date
10/14/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
R869554 01 MS STATE LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
3089 S Liberty St
City
Canton
State
Mississippi
Zip
39046-9224
Phone Number
601-813-5249
Fax Number
person
Provider Business Mailing Address Details
Address
3089 S Liberty St
City
Canton
State
Mississippi
Zip
39046-9224
Phone Number
601-813-5249
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
R869554 (Mississippi)
Definition
Definition to come...
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