Allison Joy Boutwell, PA-C Valid NPI
Individual provider · Physician Assistant · Petal, MS
- NPI
- 1649880543
- Type
- Individual (Type 1)
- Primary specialty
- Physician Assistant
- Specialty group
- Physician Assistants & Advanced Practice Nursing Providers
- Taxonomy code
- 363A00000X
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2020-08-05
- Last updated
- 2025-04-28
Practice location
50 Parkway Ln Ste 10
Petal, MS 39465
(601) 544-7404