You Matter Adolescent Women Clinic

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

YOU MATTER ADOLESCENT WOMEN CLINIC

Practice address

3089 S Liberty St
Canton, MS 39046-9224

Phone

(601) 813-5249

NPI assigned

Mar 22, 2019

Organization subpart

No

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

Authorized official

Name

Jennifer BooseNPI 1417351883

Title

CNP

Phone

(662) 751-8847

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer Boose, NP

  • Family Nurse Practitioner
  • Canton, MS
  • NPI 1417351883
  NPD Authorized official

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

{
    "created_epoch": "1553212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553212800000",
    "number": "1710447982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3089 S LIBERTY ST",
            "city": "CANTON",
            "state": "MS",
            "postal_code": "390469224",
            "telephone_number": "601-813-5249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3089 S LIBERTY ST",
            "city": "CANTON",
            "state": "MS",
            "postal_code": "390469224",
            "telephone_number": "601-813-5249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOU MATTER ADOLESCENT WOMEN CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-22",
        "last_updated": "2019-03-22",
        "status": "A",
        "authorized_official_last_name": "BOOSE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "CNP",
        "authorized_official_telephone_number": "662-751-8847"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Landon B. Wilson, RN
• Robyn Winn
• Deshannon Vatrice Winston
• Winters Medical Transportation LLC
• Walter Ray Wolfe, MD
• Marcus D Young

• Clinic/Center in Canton, MS
• Providers in Canton, MS by specialty
• Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2019; 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.