Individual
NANCY BOOTH-LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
380 E MAIN ST, BREVARD, NC 28712-3835
(540) 988-6117
(336) 852-5626
Mailing address
380 E MAIN ST, BREVARD, NC 28712-3835
(540) 988-6117
(336) 852-5626
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
5009562
NC
363LF0000X
Family Nurse Practitioner
Primary
5009562
NC
Other
Enumeration date
06/13/2017
Last updated
07/19/2023
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