Carrie Jean Boots
Nurse Practitioner - Adult Health
7910 W Jefferson Blvd Ste 108
Fort Wayne
, Indiana 46804-4159
Carrie Jean Boots
Nurse Practitioner - Adult Health
7910 W Jefferson Blvd Ste 108
Fort Wayne
, Indiana 46804-4159
(260) 483-1911
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About
Features
Specialties
- Nurse Practitioner - Adult Health
Languages spoken
- English
Location
First Address
- Carrie Jean Boots
- 6610 Mutual Dr
- Fort Wayne, IN
- Zip : 46825-4236
- Fax : (260) 483-1911
- Phone : (260) 484-8830
Second Address
- Carrie Jean Boots
- 7910 W Jefferson Blvd Ste 108
- Fort Wayne, IN
- Zip : 46804-4159
- Fax : (260) 483-1911
- Phone : (260) 484-8830
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LA2200X | Nurse Practitioner - Adult Health | 71002416A | IN |
National Provider Identifier
| NPI | 1003012352 |
|---|---|
| Provider Name | Carrie Jean Boots |
| First Address | Fort Wayne, IN 46825-4236 |
| Second Address | Fort Wayne, IN 46804-4159 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/06/2007 |
| Last Update Date | 23/07/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.