person
Avery Bouchillon
Student in an Organized Health Care Education/Training Program in Ethel, Mississippi
NPI 1821852112

Avery Bouchillon is a Student in an Organized Health Care Education/Training Program based in Ethel, MS. Avery Bouchillon practices in Ethel, MS. The NPI Number for Avery Bouchillon is 1821852112 and holds a License No. (Mississippi).

The current practice location address for Avery Bouchillon is 22325 Highway 43, Ethel, MS and can be reached out via phone at 662-736-6927.

Location: 22325 Highway 43, Ethel, MS, 39067-6037
person
Provider Profile Details
NPI Number
1821852112
Provider Name
Avery Bouchillon
Credential
Provider Entity Type
Individual
Gender
Female
Address
22325 Highway 43, Ethel, MS, 39067-6037
Phone Number
662-736-6927
Fax Number
Provider Enumeration Date
02/07/2024
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
22325 Highway 43
City
State
Zip
39067-6037
Phone Number
662-736-6927
Fax Number
person
Provider Business Mailing Address Details
Address
22325 Highway 43
City
State
Zip
39067-6037
Phone Number
662-736-6927
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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