person
Nicholas Bosworth
Student in an Organized Health Care Education/Training Program in Jackson, Mississippi
NPI 1750962544

Nicholas Bosworth is a Student in an Organized Health Care Education/Training Program based in Jackson, MS. Nicholas Bosworth practices in Jackson, MS. The NPI Number for Nicholas Bosworth is 1750962544 and holds a License No. (Mississippi).

The current practice location address for Nicholas Bosworth is 1815 Howard St, Jackson, MS and can be reached out via phone at 662-719-6425.

Location: 1815 Howard St, Jackson, MS, 39202-1326
person
Provider Profile Details
NPI Number
1750962544
Provider Name
Nicholas Bosworth
Credential
Provider Entity Type
Individual
Gender
Male
Address
1815 Howard St, Jackson, MS, 39202-1326
Phone Number
662-719-6425
Fax Number
Provider Enumeration Date
04/14/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1815 Howard St
City
State
Zip
39202-1326
Phone Number
662-719-6425
Fax Number
person
Provider Business Mailing Address Details
Address
1815 Howard St
City
State
Zip
39202-1326
Phone Number
662-719-6425
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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