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Individual

MRS. JACEY BOOZER JURGENSMEIER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PMHNP

Contact information

Practice address
301 MCCULLOUGH DR, CHARLOTTE, NC 28262-3310
(888) 270-0002
Mailing address
118 CYPRESS CIR APT A, FORT EISENHOWER, GA 30905-4910
(813) 333-3224

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5019080
NC

Other

Enumeration date
07/10/2023
Last updated
11/14/2023
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