Individual provider · Type 1 NPI

Jason Glenn Boutwell, APRN

Family Nurse Practitioner · Panama City, FL

NPI number 1184281982 Active

Practice location

1847 Florida Ave
Panama City, FL 32405-4640

Mailing address

PO Box 62
Lynn Haven, FL 32444-0062

Other practice locations

  • 2216 Hammock Square Dr Unit 206, Lynn Haven, FL 32444-7618 · (850) 814-5547

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XAPRN11002476 (FL)

Family Nurse Practitioner: Definition to come...

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About NPI 1184281982

Jason Glenn Boutwell, APRN's National Provider Identifier is 1184281982, issued on May 28, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Panama City, FL. The record was last updated on Sep 17, 2024.