Individual
JESSIE BOULAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
750 BRIDGES AVE E, SUITE A, WYNNE, AR 72396-2327
(870) 755-2737
(870) 755-2740
Mailing address
750 BRIDGES, SUITE A, WYNNE, AR 72396
(870) 755-2737
(870) 755-2740
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R101869
AR
Other
Enumeration date
09/02/2016
Last updated
09/02/2016
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