Healthcare Provider Details

I. General information

NPI: 1518432897
Provider Name (Legal Business Name): BILLIE JO RAPOL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/12/2018
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

336 DEERFIELD RD
BOONE NC
28607-5008
US

IV. Provider business mailing address

336 DEERFIELD RD
BOONE NC
28607-5008
US

V. Phone/Fax

Practice location:
  • Phone: 828-264-9664
  • Fax: 828-264-8144
Mailing address:
  • Phone: 828-264-9664
  • Fax: 828-264-8144

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number023760
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: