Boston, Chandra Anita

Boston, Chandra Anita is an individual health care provider with primary practice located at 2500 North State Street , Jackson MS 39216-4500. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Boston, Chandra Anita can be contacted via phone (601) 815-4128.

Contact Information

Primary practice address
2500 North State Street Jackson MS 39216-4500
Phone: (601) 815-4128
Fax: (601) 815-1828
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X R772275 Mississippi

Profile Details

NPI number 1043249295
LBN Legal business name Boston, Chandra Anita
Credentials C.F.P.M.H.N.P.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2006
Last updated Feb 5th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043249295 NPPES
Mississippi MEDICAID 09528347

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