Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. JENNIFER DAWN BOSTIC, LAT/ATC, PTA
ActiveMRS. JENNIFER DAWN BOSTIC, LAT/ATC, PTA is a Athletic Trainer healthcare provider located in VERSAILLES, Indiana. NPI 1144718537 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · VERSAILLES, IN
Registration Details
- NPI Number
- 1144718537
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 1, 2018 (8.3172261705839 yrs)
- Last Updated
- May 1, 2018
- License
-
36000064A (IN)
Practice Information
- Address
-
476 W US HIGHWAY 50 STE AVERSAILLES, IN, 470428340Browse IN providers · Browse ZIP 47042
- Phone
- 8126891771
- Fax
- 8126891778
- Primary Specialty
-
Athletic Trainer
2255A2300X
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.