DR. JULIE NICOLE BOISEN (NPI# 1871950667) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871950667 |
| Entity Type | Individual |
| Full Name | DR. JULIE NICOLE BOISEN |
| Other Name | JULIE NICOLE TAYLOR |
| Credential | MD |
| Practice Address |
Bldg 1320 Waterfront Medical Mayport FL 32228 |
| Mailing Address |
12363 Sweetfern Ln Jacksonville FL 32225-6838 |
| Practice Telephone | 9042705947 |
| Practice Fax Number | 9042707038 |
| Mailing Telephone | 8304595211 |
| Enumeration Date | 2016-01-25 |
| Last Update Date | 2019-09-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 0101262956 | VA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
BLDG 1320 WATERFRONT MEDICAL |
| City | MAYPORT |
| State | FL |
| Zip Code | 32228 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023546108 | Gregory Donald Willden | Military Health Care Provider | Bon Homme Richard St, Bldg 2480, Jacksonville, FL 32228 | 2017-06-01 |
| 1235681545 | Huriel A Rivera Aponte | Military Health Care Provider | Naval Station Mayport, Surflant Medical Readiness Division Detachment Mayport, Jacksonville, FL 32228 | 2016-11-03 |
| 1134594245 | Luis Figueroa | Military Health Care Provider | Lcsron Two, 2480 Bonhomme Richard St, Jacksonville, FL 32228 | 2015-12-01 |
| 1790154813 | Franklin Paul Mccullough | Military Health Care Provider | Bon Homme St Bldg 2480, Jacksonville, FL 32228 | 2015-09-18 |
| 1932512498 | Mayport Refill Pharmacy | Military/U.S. Coast Guard Pharmacy | Naval Health Clinic Mayport, 2104 Massey Ave, Mayport, FL 32228 | 2014-06-03 |
| 1366863102 | Clayton Pascik | Military Health Care Provider | Bldg 1488 Massey Ave., Jacksonville, FL 32228 | 2013-12-20 |
| 1104267533 | Joshua Israel Keil | Optometrist | Building 2104 Massey Avenue, Nas Mayport, FL 32228 | 2013-07-15 |
| 1588907042 | Devon Schefano | Military Health Care Provider | 1204 Massey Ave, Mayport, FL 32228 | 2013-04-03 |
| 1851686554 | Philip M Yam | Psychiatry & Neurology | Cnss-14, Mrd Bld 1320, Mayport Naval Station, Jacksonville, FL 32228 | 2011-06-10 |
| 1518297829 | Mary Louise Allen | Nurse Practitioner | Massey Ave Bldg 2104, Mayport, FL 32228 | 2010-01-08 |
| Find all providers in zip 32228 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.