MRS. JENNIFER R BOUTWELL (NPI# 1184958969) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184958969 |
| Entity Type | Individual |
| Full Name | MRS. JENNIFER R BOUTWELL |
| Credential | FNP |
| Practice Address |
303 Marion Ave Mccomb MS 39648-2707 |
| Practice Telephone | 6012491350 |
| Practice Fax Number | 6012491339 |
| Mailing Telephone | 6012491350 |
| Mailing Fax Number | 6012491339 |
| Enumeration Date | 2009-09-25 |
| Last Update Date | 2009-09-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
R880925 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639629900 | Jennifer Boutwell | Speech-Language Pathologist | 204 E Naomi St, Randleman, NC 27317-1844 | 2016-10-10 |
| Street Address |
303 MARION AVE |
| City | MCCOMB |
| State | MS |
| Zip Code | 39648-2707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619975026 | Ali R Homayuni | Internal Medicine | 303 Marion Ave, Mccomb, MS 39648-2707 | 2005-07-09 |
| 1255999116 | Ashley Danielle Farnum-johnston | Physical Medicine & Rehabilitation | 303 Marion Ave, Mccomb, MS 39648-2707 | 2019-06-04 |
| 1649753039 | Misti Hedgepeth | Nurse Practitioner | 303 Marion Ave, Mccomb, MS 39648-2707 | 2018-09-11 |
| 1972009363 | Ochsner Mississippi, LLC | Internal Medicine | 303 Marion Ave, Mccomb, MS 39648-2707 | 2018-04-04 |
| 1437600335 | Ochsner Clinic LLC | General Practice | 303 Marion Ave, Mccomb, MS 39648-2707 | 2016-10-17 |
| 1164815007 | Ellanie L Bessonette | Nurse Practitioner | 303 Marion Ave, Mccomb, MS 39648-2707 | 2015-03-17 |
| 1356531263 | Henry Leroy Dawkins | Internal Medicine | 303 Marion Ave, Mccomb, MS 39648-2707 | 2007-07-26 |
| 1841318003 | Christos Kasapis | Internal Medicine | 303 Marion Ave, Cardiovascular Institute of Mississippi, Mccomb, MS 39648-2707 | 2007-03-27 |
| 1114969011 | Craig V Adams | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 303 Marion Ave, Mccomb, MS 39648-2707 | 2006-06-12 |
| 1659327989 | Daniel A Millan | Anesthesiology | 303 Marion Ave, Mccomb, MS 39648-2707 | 2006-05-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952910366 | Ct Stamps Inc | Pharmacy | 206 Marion Avenue, Mccomb, MS 39648 | 2020-07-31 |
| 1952910457 | Fresenius Medical Care East Mccomb Dialysis, LLC | Clinic/Center | 103 Business Center Drive, Mccomb, MS 39648 | 2020-07-30 |
| 1902423312 | Joseph Edward Mingo II | Counselor | 513 Lee St, Mccomb, MS 39648 | 2020-07-01 |
| 1427608769 | Benda Truvillion | Technician | 2128 Park Dr. Ext., Mccomb, MS 39648 | 2019-09-18 |
| 1295228187 | Edna Ruth Winston | Counselor | Sw Ms Mental Health Complex, 1701 White St, Mccomb, MS 39648 | 2018-06-14 |
| 1386153450 | Sholitha Nunnery | Counselor | 502 North Cherry Street, Mccomb, MS 39648 | 2017-09-21 |
| 1548600612 | Jordan Harrington | Nurse Practitioner | 303 Marion Ave., Mccomb, MS 39648 | 2013-07-03 |
| 1891096236 | Zwound Care | Family Medicine | 1126 Country Club Road, Mccomb, MS 39648 | 2010-11-16 |
| 1588891717 | Kelly Edmondson | Physical Therapy Assistant | 1301a Harrison Ave, Mccomb, MS 39648 | 2009-06-15 |
| 1962647651 | Gwendolyn Michelle Brown | Home Health Aide | 1114 1/2 Venable St., Mccomb, MS 39648 | 2008-12-09 |
| Find all providers in zip 39648 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700316536 | Bhavik S Patel | Nurse Practitioner | 1506 Aston Ave, Mccomb, MS 39648-2735 | 2017-06-14 |
| 1629243530 | Steven Ray Arnold | Nurse Practitioner | 1506 Aston Ave, Mccomb, MS 39648-2735 | 2008-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306450358 | Sara Leanne Davis | Nurse Practitioner | 230 Possum Ridge Rd, Hollandale, MS 38748-3755 | 2020-09-06 |
| 1598385130 | Christy Busby | Nurse Practitioner | 128 Warren St, Pontotoc, MS 38863-1519 | 2020-04-23 |
| 1104459742 | Amanda Paige Michael | Nurse Practitioner | 200 Quail Run, Booneville, MS 38829-9001 | 2020-02-21 |
| 1891328340 | U Matter LLC | Nurse Practitioner | 2440 N Hills St Ste 126, Meridian, MS 39305-2634 | 2020-02-12 |
| 1255978367 | Tanya Haley Mcgee | Nurse Practitioner | 229 Old Yorkville Rd S, Columbus, MS 39702-8440 | 2019-12-08 |
| 1447893888 | Spectrum The Other Clinic | Nurse Practitioner | 2910 Magnolia Pl, Hattiesburg, MS 39402-2428 | 2019-10-17 |
| 1053962068 | Lauren Lanier Guthrie | Nurse Practitioner | 102 Friars Cv, Clinton, MS 39056-3411 | 2019-09-23 |
| 1588212229 | David Buckheister | Nurse Practitioner | 612 Liz Cir, Gulfport, MS 39503-3712 | 2019-08-27 |
| 1821583196 | Amanda Houston Trent | Nurse Practitioner | 4381 S Eason Blvd Ste 203, Tupelo, MS 38801-6557 | 2018-06-28 |
| 1093224446 | Jennifer Hurley | Nurse Practitioner | 2809n Denny Ave, Pascagoula, MS 39581-5301 | 2017-09-28 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.