| NPI | 1962029249 |
|---|---|
| Doing Business As | ORTHOXPRESS BONE & JOINT CENTER OF BOONEVILLE |
| Entity Type | Organization |
| Authorized Contact | JENNIFER C BULLOCK President 662-534-2227 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 261QM2500X Clinic/Center, Medical Specialty | |
| Enumeration Date | 2020-07-02 |
| Last Update Date | 2025-09-10 |