Individual
MRS. GABRIELLE BOONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1001 14TH ST, MERIDIAN, MS 39301-4458
(601) 482-9224
Mailing address
1001 14TH ST, MERIDIAN, MS 39301-4458
(601) 482-9224
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R882487
MS
Other
Enumeration date
06/17/2013
Last updated
06/17/2013
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