Individual
JESSICA BOATMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11362 COUNTRY CLUB RD, LAWRENCEVILLE, IL 62439-4325
(618) 943-3302
(618) 943-3657
Mailing address
11362 COUNTRY CLUB RD, LAWRENCEVILLE, IL 62439-4325
(618) 943-3302
(618) 943-3657
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/15/2021
Last updated
02/06/2024
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