Jasmonique Boyd, LMSW
Individual provider Active NPI Social Worker · Brandon, MS
NPI 1871297549 · NPPES record last updated Mar 28, 2023
Key facts
- NPI
- 1871297549
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 150110276 (IL)
- Practice address
- 1016 Cumberland Dr
Brandon, MS 39047-7903 - Phone
- (662) 299-6649
- NPI assigned
- Mar 28, 2023
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 150110276 | IL | MD | Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 150110276 | IL | Yes |
Addresses
Primary practice location
1016 Cumberland Dr
Brandon, MS 39047-7903
Mailing address
1016 Cumberland Dr
Brandon, MS 39047-7903
Phone (662) 299-6649
Other providers in Brandon, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 28, 2023. 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.