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General NPI Number Information
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NPI Number | 1568719540
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Entity Type | Individual
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Provider Name | JACQUELINE D BOYD-DRUMMOND FNP-C
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Gender | Female
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Dates
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Enumeration Date | 08/09/2012
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Last Update Date | 08/14/2025
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Provider Practice Location Address
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Address Line | 2616 SOUTHERLAND ST STE 100
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City | JACKSON
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State | MS
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Zip | 39216-4855
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Country | US
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Telephone | 601-665-4429
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Fax | 612-500-4737
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Provider Business Mailing Address
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Address Line | 163 DRUMMOND RD
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City | MENDENHALL
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State | MS
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Zip | 39114-4348
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Country | US
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Telephone | 662-719-9120
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | F08170574
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License Number State | MS
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