JENNIFER BOOSE

CANTON, MS
NPI1417351883
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MS  R869554)
Enumeration Date2014-10-14
Last Update Date2019-03-22
Business Address
Ms. JENNIFER BOOSE NP
3089 S LIBERTY ST
CANTON, MS 39046-9224
Phone number: 601-813-5249
Mailing Address
Ms. JENNIFER BOOSE NP
720 KING RANCH RD
CANTON, MS 39046-2912
Phone number: 662-751-8847