Skylar Jo Freeman Boose

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Biloxi, MS

NPI 1184415366 · NPPES record last updated May 15, 2025

Key facts

NPI
1184415366
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
301 Fisher St
Biloxi, MS 39534-2508
Phone
(228) 376-3317
NPI assigned
May 15, 2025
Sex
Female
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

301 Fisher St
Biloxi, MS 39534-2508

Mailing address

1156 Blackbead Rd
Flora, IL 62839-3810
Phone (618) 843-9649

Other names

  • Skylar Jo Freeman Former name

Other providers in Biloxi, MS

All providers in Biloxi, MS · Student in an Organized Health Care Education/Training Program in Mississippi

Sources for this page

Verify at the official NPI Registry.