OrganizationActive
Msp Boone Clinic, PLLC
NPI 1013782804 · Primary Podiatric Medicine Podiatrist · Jefferson, NC
Provider details
- NPI number
- 1013782804
- Entity type
- Organization
- Primary specialty
- Primary Podiatric Medicine PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- Jonathan Tenley, Authorized Official(828) 265-3668
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Practice location
200 Hospital Ave Fl 3
Jefferson, NC 28640-9244
Phone: (828) 265-9662
Fax: (828) 252-2272
Approximate (ZIP-level) locationGet directions
Mailing address
610 State Farm Rd Ste C
Boone, NC 28607-4713
Registry dates
- Enumerated
- 2023-11-21
- Last updated
- 2023-11-29
- Certified
- 2023-11-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.