Individual provider Active NPI

Jena Patrice Boynton, WHNP-BC

  • Women's Health Nurse Practitioner
  • Queen Creek, AZ
National Provider Identifier
1003052804
Registry record updated Dec 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
AP3239 Issued in AZ
Practice address
21321 E Ocotillo Rd
Suite 127
Queen Creek, AZ 85242-5996
Phone
(480) 888-7271
Fax
(480) 888-7904
NPI assigned
Dec 29, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X AP3239 AZ Primary

Addresses

Primary practice location

21321 E Ocotillo Rd
Suite 127
Queen Creek, AZ 85242-5996

Mailing address

21321 E Ocotillo Rd
Suite 127
Queen Creek, AZ 85242-5996
Phone (480) 888-7271

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
AP3239AZMDWomen's Health Nurse Practitioner

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1230508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1230508800000",
    "number": "1003052804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21321 E OCOTILLO RD",
            "address_2": "SUITE 127",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "852425996",
            "telephone_number": "480-888-7271",
            "fax_number": "480-888-7904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21321 E OCOTILLO RD",
            "address_2": "SUITE 127",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "852425996",
            "telephone_number": "480-888-7271",
            "fax_number": "480-888-7904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYNTON",
        "first_name": "JENA",
        "middle_name": "PATRICE",
        "credential": "WHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-29",
        "last_updated": "2008-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "AZ",
            "license": "AP3239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Queen Creek, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.