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

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

Practice location Address checks out

499 Gloster Creek Vlg Ste A1
Tupelo, MS 38801-4749
Phone: (662) 432-0700
Show map & directions

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

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