Individual provider · Type 1 NPI

Selina Jordan Boggan, FNP-BC

Nurse Practitioner · Douglas, GA

NPI number 1407427727 Active

Practice location

50 Sanibel Ct
Douglas, GA 31535-6554

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XRN181441 (GA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1407427727

Selina Jordan Boggan, FNP-BC's National Provider Identifier is 1407427727, issued on Jul 7, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Douglas, GA. The record was last updated on Jul 7, 2021.