Individual
JADE BOULTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
80 HUMPHREYS CENTER DR STE 200, MEMPHIS, TN 38120-2352
(901) 761-3900
Mailing address
PO BOX 405827, ATLANTA, GA 30384-5827
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
36838
TN
Other
Enumeration date
09/09/2024
Last updated
04/30/2025
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