Healthcare Provider Details

I. General information

NPI: 1083538508
Provider Name (Legal Business Name): JULIA DUNCAN BOLICK
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/06/2026
Last Update Date: 08/06/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1420 FERN CREEK DR
STATESVILLE NC
28625-9376
US

IV. Provider business mailing address

1956 8TH STREET LN SE
HICKORY NC
28602-4158
US

V. Phone/Fax

Practice location:
  • Phone: 704-380-3772
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number5025139
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: