Organization
ORTHO EXPRESS HOLDING COMPANY, LLC
Active
Other names
OrthoXpress Bone & Joint Center of Booneville
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER C BULLOCK (PRESIDENT)
(662) 534-2227
Entity
Organization
Contact information
Practice address
608 W CHURCH ST, BOONEVILLE, MS 38829
(662) 534-2227
(662) 534-2330
Mailing address
206 OXFORD RD, NEW ALBANY, MS 38652-3115
(662) 534-2227
(662) 534-2330
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/02/2020
Last updated
09/10/2025
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