Individual provider · Type 1 NPI

Katelyn C. Boren

Nurse Practitioner · Tupelo, MS

NPI number 1740821941 Active

Practice location

499 Gloster Creek Vlg Ste A1
Tupelo, MS 38801-4749

Mailing address

370 Crown Dr
Fulton, MS 38843-6018

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X903402 (MS)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1740821941

Katelyn C. Boren's National Provider Identifier is 1740821941, issued on Sep 30, 2019. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Tupelo, MS. The record was last updated on Sep 30, 2019.