Individual provider · Type 1 NPI
Jackie Lynn Boatman
Specialist · Brownsburg, IN
NPI number
1013045855
Active
Practice location
219 Brooks Bnd
Brownsburg, IN 46112-9235
Fax (317) 858-8130
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 311447 (IN) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
About NPI 1013045855
Jackie Lynn Boatman's National Provider Identifier is 1013045855, issued on Mar 2, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Brownsburg, IN. The record was last updated on Jul 9, 2007.