Individual
JENNIFER ELIZABETH BOSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1809 S MAIN ST, UPLAND, IN 46989-9257
(765) 770-0650
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
28209545A
IN
363LF0000X
Family Nurse Practitioner
Primary
71010883A
IN
Other
Enumeration date
01/04/2021
Last updated
05/19/2022
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