OrganizationActive
Faith Family Clinic of Booneville
NPI 1063911485 · Primary Care Clinic/Center · Booneville, MS
Provider details
- NPI number
- 1063911485
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Amber Janzen, Fnp(662) 728-0162
- License
- R871985 (MS)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
2209 N 2nd St
Booneville, MS 38829-7734
Phone: (662) 728-0162
Fax: (662) 728-0326
Approximate (ZIP-level) locationGet directions
Mailing address
2209 N 2nd St
Booneville, MS 38829-7734
Registry dates
- Enumerated
- 2018-02-12
- Last updated
- 2018-02-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.