Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jessica Boutwell

Individual provider Pharmacist · NPI 1275138869

Jessica Boutwell is a Pharmacist in Brookhaven, Mississippi. Practices as a sole proprietor. Licensed in Mississippi.

Licensed in
MS
In the registry since
2020
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Practice location Address checks out

950 Brookway Blvd
Brookhaven, MS 39601-2644
Phone: (601) 833-8436
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence E09434 (MS)

Record details

NPI number1275138869
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 1, 2020
Last updated in NPPESDecember 1, 2020
Certification dateDecember 1, 2020

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