Individual
MS. CHANDRA ANITA BOSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.F.P.M.H.N.P.
Contact information
Practice address
2500 NORTH STATE STREET, JACKSON, MS 39216-4500
(601) 815-4128
(601) 815-1828
Mailing address
PO BOX 157A, WHITFIELD, MS 39193-0157
(601) 351-8000
(601) 351-8301
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R772275
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09528347
—
MS
Enumeration date
07/01/2006
Last updated
02/05/2016
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