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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MS. JACKIE LYNN BOATMAN

Active Sole Proprietor

MS. JACKIE LYNN BOATMAN is a Specialist healthcare provider located in BROWNSBURG, Indiana. NPI 1013045855 is currently active in the NPPES registry. Verify at CMS.

Specialist · BROWNSBURG, IN

Registration Details

NPI Number
1013045855
Provider Type
Individual
Gender
Female
NPI Issued
Mar 2, 2007 (19.465270627269 yrs)
Last Updated
Jul 9, 2007
License
311447 (IN)
Sole Proprietor
Yes

Practice Information

Address
219 BROOKS BND
BROWNSBURG, IN, 461129235
Browse IN providers · Browse ZIP 46112
Phone
3178588130
Fax
3178588130
Primary Specialty
Specialist
174400000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.