Individual
JENNIFER BOYNTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP, CNM
Contact information
Practice address
1761 W LOOP 281, LONGVIEW, TX 75604-2734
(903) 758-2610
(903) 758-7081
Mailing address
1107 E MARSHALL AVE, LONGVIEW, TX 75601-5602
(903) 758-2610
(903) 758-7081
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP108939
TX
363LF0000X
Family Nurse Practitioner
AP108939
TX
367A00000X
Advanced Practice Midwife
Primary
AP108939
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036809402
—
TX
05
—
036809403
—
TX
01
—
45-2578435-001
TRICARE
TX
01
—
45-2578435-002
TRICARE
TX
01
—
883N39
BCBS
TX
01
—
8N3631
BCBS
TX
Enumeration date
02/28/2007
Last updated
08/26/2025
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