Individual
BOQIN HU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3446 BIG RIDGE RD, DIBERVILLE, MS 39540-2421
(228) 386-1185
Mailing address
14060 OLD AVERA RD, STATE LINE, MS 39362-7112
(601) 381-7218
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
903772
MS
Other
Enumeration date
01/27/2020
Last updated
01/27/2020
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