Individual provider · Type 1 NPI

Stephanie Oberhousen Boydston, FNP-C

Family Nurse Practitioner · Jackson, MS

NPI number 1356984462 Active

Practice location

969 Lakeland Dr
Jackson, MS 39216-4606

Fax (601) 200-4645

Mailing address

5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816-6038

Other practice locations

  • 7215 S Siwell Rd, Jackson, MS 39272-9776 · (601) 201-4419
  • 970 Lakeland Dr Ste 225, Jackson, MS 39216-4635 · (601) 200-4644

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X903639 (MS)

Family Nurse Practitioner: Definition to come...

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About NPI 1356984462

Stephanie Oberhousen Boydston, FNP-C's National Provider Identifier is 1356984462, issued on Oct 21, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Jackson, MS. The record was last updated on Jan 15, 2025.