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NPI Code Detail

MEDICARE: AMY JEANETTE BOLYARD FNP

MEDICARE: AMY JEANETTE BOLYARD FNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerAPN.APRN26532SC

General Provider Information

NPI Number : 1831809565
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMY JEANETTE BOLYARD FNP
Provider Business Mailing Address
First Line : 30 NEW ORLEANS RD
Second Line :
City : HILTON HEAD ISLAND
State : SC
Zip : 29928-4715
Country : US
Telephone Number : 843-842-9960
Fax Number :
Provider Business Practice Location Address
First Line : 30 NEW ORLEANS RD
Second Line :
City : HILTON HEAD ISLAND
State : SC
Zip : 29928-4715
Country : US
Telephone Number : 843-842-9960
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/05/2022
Last Update Date : 12/05/2022

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Directions to “ AMY JEANETTE BOLYARD FNP” Practice Location

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