Individual provider · Type 1 NPI
Kamera Sakeena Boggon, AGNP -C
Psychiatric/Mental Health Nurse Practitioner · Detroit, MI
NPI number
1700247772
Active
Practice location
6309 Mack Ave
Detroit, MI 48207-2302
Other practice locations
- 22355 W. 8 Mile Rd, Detroit, MI 48219 · (313) 255-6450
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 4704248431 (MI) |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 704248431 (MI) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 4704248431 (MI) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1700247772
Kamera Sakeena Boggon, AGNP -C's National Provider Identifier is 1700247772, issued on Mar 17, 2016. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Detroit, MI. The record was last updated on Jun 14, 2024.