Individual
JOSEPHINE BOSTIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
PO BOX 507, EVANSTON, IL 60204-0507
(678) 839-9268
Mailing address
PO BOX 507, EVANSTON, IL 60204-0507
(678) 839-9268
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
277.001540
IL
363LA2100X
Acute Care Nurse Practitioner
209071222
IL
Other
Enumeration date
03/12/2018
Last updated
10/29/2024
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