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Contact Information

JESSICA L BOSTIC
940 A HWY 96
WARNER ROBINS, GA31093
 Phone: 478-988-1222
 Fax: 478-218-7520
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health

101YM0800X
Indicates primary specialty

NPI Profile & details for JESSICA L BOSTIC · (Female)

NPI # 1124419833
Status Active
Credentials
Entity Individual
Enumeration date 02/17/2015
Last updated 02/17/2015 - About 11 years ago
Sole proprietor 1 Yes
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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