Rashada Keadria Boler, BSN, RN, CCRN
Individual provider Active NPI Registered Nurse · Canton, MS
NPI 1639995178 · NPPES record last updated Nov 30, 2024
Key facts
- NPI
- 1639995178
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 917462 (MS)
- Practice address
- 201 Baleigh Dr
Canton, MS 39046-1270 - Phone
- (601) 416-4417
- NPI assigned
- Nov 30, 2024
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Bachelor on Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 917462 | MS | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 917462 | MS | Yes |
Addresses
Primary practice location
201 Baleigh Dr
Canton, MS 39046-1270
Mailing address
201 Baleigh Dr
Canton, MS 39046-1270
Phone (601) 416-4417
Other providers in Canton, MS
- Crystal Corshe' Biggs
- Olevia Billips
- Bio-Medical Applications of Mississippi, Inc.
- Blackhawk Medical, PLLC
- Stacey Blount-Parish
- Jennifer Boose
- Cassandra Brown
- Jessica Nicole Brown
- Jetuwan M Brown
- Tasha Brown
All providers in Canton, MS · Registered Nurse in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 30, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.