Individual
ISAIAH JESSY JAVON BOYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1235 N MAIN ST, POPLAR BLUFF, MO 63901-3836
(573) 686-1200
Mailing address
2981 KANELL BLVD, POPLAR BLUFF, MO 63901-4008
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
MO
Other
Enumeration date
05/29/2019
Last updated
12/18/2025
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