Individual
MRS. ALISHA BOUTWELL TENHET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
49 TURNER ST, MABEN, MS 39750-9157
(662) 263-5900
(662) 263-4132
Mailing address
49 TURNER ST, MABEN, MS 39750-9157
(662) 263-5900
(662) 263-4132
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R872184
MS
Other
Enumeration date
08/01/2012
Last updated
05/19/2025
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