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Jodi Brooks Boutte, MS — NPI 1770108383, Fate, TX | NPI Central

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NPI 1770108383

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Jodi Brooks Boutte, MS

NPI 1770108383 · Attendant Care Provider · Fate, TX

Provider details

NPI number: 1770108383
Entity type: Individual
Primary specialty: Attendant Care ProviderNursing Service Related Providers
Credential: MS
Sex: Female
Sole proprietor: No

Specialties & taxonomies

Attendant Care ProviderPrimary3747A0650X
Nursing Service Related Providers

Practice location

554 Jamestown Ln

Fate, TX 75189-5116

Phone: (337) 577-6298

Approximate (ZIP-level) locationGet directions

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Mailing address

554 Jamestown Ln

Fate, TX 75189-5116

Registry dates

Enumerated: 2020-06-09
Last updated: 2020-06-09
Certified: 2020-06-09

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.