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

Kristen E Boggs, NP

Individual provider Nurse Practitioner · NPI 1831841725

Kristen E Boggs, NP is a Nurse Practitioner in Jackson, Mississippi. Qualified in 2021, 5 years ago. Practices with Minor Med Care, LLC, a 81-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
5
Licensed in
MS
In the registry since
2022
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

969 Lakeland Dr
Jackson, MS 39216-4699
Phone: (601) 200-3631
Fax: (601) 200-0159
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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 904992 (MS)

Record details

NPI number1831841725
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedJanuary 21, 2022
Last updated in NPPESFebruary 16, 2024
Certification dateFebruary 16, 2024
Mailing address5959 S Sherwood Forest Blvd, Baton Rouge, LA 70816-6038

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Minor Med Care, Llc — 81 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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