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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1114753597

Mason Boutwell is a Student in an Organized Health Care Education/Training Program in Jackson, Mississippi. Practices as a sole proprietor. Registered with an NPI since 2024.

In the registry since
2024
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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Jackson, MS

No coordinates on file. Search this address in Google Maps

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1114753597
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 11, 2024
Last updated in NPPESSeptember 11, 2024
Certification dateSeptember 11, 2024

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