Individual provider · Type 1 NPI

Carly Jo Boss, AGPCNP

Gerontology Nurse Practitioner · Byron Center, MI

NPI number 1487318606 Active

Practice location

7751 Byron Center Ave SW Ste C
Byron Center, MI 49315-8001

Mailing address

100 Michigan St NE # MC845
Grand Rapids, MI 49503-2560

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600X4704297072 (MI)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1487318606

Carly Jo Boss, AGPCNP's National Provider Identifier is 1487318606, issued on Oct 25, 2021. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Byron Center, MI. The record was last updated on Jan 12, 2022.