Allison Joy Boutwell, PA-C

NPI #1649880543 in Petal, Mississippi

Provider Information

NPI Number: 1649880543
Entity Type: Individual
Name: Allison Joy Boutwell, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Aug 5, 2020
Last Updated: Apr 28, 2025

Practice Location

Address: 50 PARKWAY LN STE 10
City: Petal
State: Mississippi
ZIP Code: 39465
Phone: (601) 544-7404

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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