# MODERNDAY WELLNESS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922567874
- **Authorized official:** DR. MARQUITA WALLACE BOGGESS NP (NP)
- **Authorized official phone:** (704) 737-9643

## Contact information

- **Practice address:** 903 NORTHEAST DR STE 102, DAVIDSON, NC 28036-7437
- **Practice address phone:** (704) 737-9643
- **Practice address fax:** (980) 231-0080
- **Mailing address:** 5123 CHEVIOT RD, CHARLOTTE, NC 28269-4526
- **Mailing address phone:** (704) 502-5372

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 03/19/2019
- **Last updated:** 03/19/2019