Nurse Practitioner, Family
BOATOX LLC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1770441248 · enumerated 2026-01-13 · record updated 2026-01-13. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: TERESA GREEN, Revenue Cycle Admin · (903) 571-3844
Addresses and phones
- Mailing address 24898 ROUTE W40, BONAPARTE, IA, 52620-8142 (903) 571-3844 Fax (855) 343-5763 Google Maps Apple Maps OpenStreetMap
- Practice location 113 W JACKSON ST STE 1A, RIDGELAND, MS, 39157-2401 (601) 863-9663 Fax (855) 343-5763 Google Maps Apple Maps OpenStreetMap
Specialties
- Nurse Practitioner, Family 363LF0000X · Primary
In this directory
Locations and evidence
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Practice location
RIDGELAND, MS, 391572401
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.