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

Katelyn C Boren

Individual provider Nurse Practitioner · NPI 1740821941

Katelyn C Boren is a Nurse Practitioner in Tupelo, Mississippi. Qualified in 2019, 7 years ago. Practices with Urology Professional Association, a 15-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
7
Licensed in
MS
In the registry since
2019
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Practice location Address checks out

499 Gloster Creek Vlg Ste A1
Tupelo, MS 38801-4749
Phone: (662) 432-0700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 903402 (MS)

Record details

NPI number1740821941
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 30, 2019
Last updated in NPPESSeptember 30, 2019
Mailing address370 Crown Dr, Fulton, MS 38843-6018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Urology Professional Association — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Tupelo