Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Stephanie Oberhousen Boydston, FNP-C

Individual provider Family Nurse Practitioner · NPI 1356984462

Stephanie Oberhousen Boydston, FNP-C is a Nurse Practitioner in Jackson, Mississippi. Qualified in 2017, 9 years ago. Works from 3 locations and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
9
Licensed in
MS
In the registry since
2019
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

969 Lakeland Dr
Jackson, MS 39216-4606
Phone: (601) 200-4644
Fax: (601) 200-4645
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 970 Lakeland Dr Ste 225, Jackson, MS 39216-4635 — (601) 200-4644
  • 7215 S Siwell Rd, Jackson, MS 39272-9776 — (601) 201-4419

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 903639 (MS)

Record details

NPI number1356984462
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedOctober 21, 2019
Last updated in NPPESJanuary 15, 2025
Certification dateJanuary 15, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Jackson