Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Ashley Lawrence Bozeman, ACPNP

Individual provider Pediatric Nurse Practitioner · NPI 1497215032

Ashley Lawrence Bozeman, ACPNP is a Pediatric Nurse Practitioner in Jackson, Mississippi. Practices as a sole proprietor. Licensed in Mississippi.

Licensed in
MS
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

2500 N State St
Jackson, MS 39216-4500
Phone: (601) 984-2001
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence 904868 (MS)
Registered Nurse Taxonomy 163W00000X · Licence 903259 (MS)

Record details

NPI number1497215032
Entity typeIndividual (Type 1)
GenderFemale
Credentials ACPNP
Sole proprietorYes
NPI enumeratedMarch 20, 2019
Last updated in NPPESNovember 2, 2021
Certification dateNovember 2, 2021

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