Individual
GINA BUIE BOURNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
227 N MAIN ST STE A, TROY, NC 27371-3059
(336) 899-1571
Mailing address
284 EXECUTIVE PARK DR, CONCORD, NC 28025-1831
(704) 939-1100
(704) 939-1173
Taxonomy
Speciality
Code
Description
License number
State
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Primary
85765
NC
Other
Enumeration date
05/27/2020
Last updated
06/02/2022
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