Individual
MEREDITH CELESTE BOSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1200 N STATE ST, JACKSON, MS 39202-2000
(601) 352-2273
Mailing address
965 RIDGE LAKE BLVD STE 103, MEMPHIS, TN 38120-9446
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
903378
MS
Other
Enumeration date
06/14/2019
Last updated
08/12/2019
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