Doctor Name: | JENA PATRICE BOYNTON |
NPI Number: | 1003052804 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | WHNP-BC |
License Number: | AP3239 |
Business Practice Address: | 21321 E Ocotillo Rd Suite 127 Queen Creek, AZ - 852425996 |
Business Phone Number: | 4808887271 |
Business Fax Number: | 4808887904 |
Mailing Address: | 21321 E Ocotillo Rd, Suite 127 QUEEN CREEK |
State: | AZ |
Postal Code: | 852425996 |
Phone Number: | 4808887271 |
Fax Number: | 4808887904 |
NPI Enumeration Date: | 12/29/2008 |
NPI Last Update Date: | 12/29/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LW0102X |
License Number: | AP3239 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Women's Health |
Taxonomy Definition: |