MS. Jackie Lynn Boatman

NPI #1013045855 in Brownsburg, Indiana

Provider Information

NPI Number: 1013045855
Entity Type: Individual
Name: MS. Jackie Lynn Boatman
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Enumeration Date: Mar 2, 2007
Last Updated: Jul 9, 2007

Practice Location

Address: 219 BROOKS BND
City: Brownsburg
State: Indiana
ZIP Code: 46112-9235
Phone: (317) 858-8130

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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