Ms Jennifer Boose, NP | |
3089 S Liberty St, Canton, MS 39046-9224 | |
(601) 813-5249 | |
Not Available |
Full Name | Ms Jennifer Boose |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 3089 S Liberty St, Canton, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417351883 | NPI | - | NPPES |
R869554 | Other | MS | STATE LICENSE NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | R869554 (Mississippi) | Primary |
Entity Name | Family Health Care Clinic Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043236326 PECOS PAC ID: 5395656946 Enrollment ID: O20040831001179 |
Mailing Address | Practice Location Address |
---|---|
Ms Jennifer Boose, NP 720 King Ranch Rd, Canton, MS 39046-2912 Ph: (662) 751-8847 | Ms Jennifer Boose, NP 3089 S Liberty St, Canton, MS 39046-9224 Ph: (601) 813-5249 |
Kristy L Robinson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1668 W Peace St, Canton, MS 39046 Phone: 601-859-5213 Fax: 601-859-8771 | |
Tamecia Herbert, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1668 W Peace St, Canton, MS 39046 Phone: 601-859-5213 | |
Latoya Sojourney, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1171 Hart St, Canton, MS 39046 Phone: 601-859-9888 Fax: 601-859-9966 | |
Okshoon Scott, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1171 Hart St, Canton, MS 39046 Phone: 601-859-9888 Fax: 601-859-9966 | |
Mrs. Donna S. Foster, CFNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 259 W Peace St, Canton, MS 39046 Phone: 601-691-5175 Fax: 601-691-5952 | |
Natwassie Truly, FNPC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1883 Highway 43 S Ste E, Canton, MS 39046 Phone: 769-231-7499 | |
Mrs. Rebecca Truelove Moore, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 156 River Oaks Dr, Suite A, Canton, MS 39046 Phone: 601-855-5287 |