Individual
MR. JOEL CHRISTOPHER BOOTHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, BSN
Contact information
Practice address
1190 N STATE ST, SUITE 301, JACKSON, MS 39202-2413
(769) 233-8239
(769) 233-7865
Mailing address
1190 N STATE ST, SUITE 301, JACKSON, MS 39202-2413
(769) 233-8239
(769) 233-7865
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R878782
MS
Other
Enumeration date
11/21/2014
Last updated
11/21/2014
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