Individual
JULIE MEAD BOGGUSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
6324 FAIRVIEW RD, SUITE 350, CHARLOTTE, NC 28210-3271
(704) 384-8600
(704) 384-8610
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 384-8600
(704) 384-8610
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
200461
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7005350
—
NC
Enumeration date
04/03/2006
Last updated
01/17/2024
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