JENNIFER R BOUTWELL

MCCOMB, MS
NPI1184958969
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: MS  R880925)
Enumeration Date2009-09-25
Last Update Date2009-09-25
Business Address
Mrs. JENNIFER R BOUTWELL FNP
303 MARION AVE
MCCOMB, MS 39648-2707
Phone number: 601-249-1350
Mailing Address
Mrs. JENNIFER R BOUTWELL FNP
303 MARION AVE
MCCOMB, MS 39648-2707
Phone number: 601-249-1350