MS. JENNIFER BOOSE NP
NPI 1417351883
Nurse Practitioner - Family in Canton, MS

Active since October 14, 2014
3089 S LIBERTY ST, CANTON, MS 39046(601) 813-5249 Get Directions Write a Review

NPPES record last updated: March 22, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Jennifer Boose Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. JENNIFER BOOSE NP (NPI 1417351883) is an individual family provider in Canton, Mississippi, licensed in Mississippi (R869554) and active in the NPI registry since October 2014. She maintains a secondary practice location in Yazoo City.

NPPES Registry Identity

NPI1417351883
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. JENNIFER BOOSECredential: NP
Location Address3089 S LIBERTY STCanton, MS 39046-9224
Mailing Address720 King Ranch RdCanton, MS 39046-2912 · (662) 751-8847
Sole ProprietorYes
Enumeration DateOctober 14, 2014
Last NPPES UpdateMarch 22, 2019
NPI 1417351883 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in MS · R869554
3089 S LIBERTY ST, Canton, MS 39046

Secondary Practice Location 1

Location 11008 Calhoun AveYazoo City, MS 39194-2938 · Phone (662) 751-8847

Other Identifiers 1

OtherR869554MS · State License Number

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center
3089 S LIBERTY ST
CANTON, MS 39046

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennifer Boose's NPI number?

The NPI number for Jennifer Boose is 1417351883. It was assigned to this individual provider in the NPPES registry on October 14, 2014.

Where is Jennifer Boose located?

Jennifer Boose practices at 3089 S Liberty St, Canton, MS 39046. The listed phone number is (601) 813-5249.

What is Jennifer Boose's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Jennifer Boose was last updated on March 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.