Jessica Boyles
Case Manager/Care Coordinator in Ruston, LA. Individual provider (NPI-1).
NPI number1407498660
StatusActive
Last updated in NPPESOct 9, 2019
Details
- NPI
- 1407498660
- Entity type
- Individual (NPI-1)
- Name
- Jessica Boyles
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 9, 2019
- Last updated
- Oct 9, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
Practice location
305 E Mississippi AveRuston, LA 71270-3905
Phone 318-202-3706
Mailing address
3625 Youree DrShreveport, LA 71105-2121
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