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Jerome Dorian Boltz, NP
Nurse Practitioner in Winston Salem, North Carolina
NPI 1578510384

Jerome Dorian Boltz is a Nurse Practitioner based in Charlotte, NC. Jerome Dorian Boltz practices in Winston Salem, NC and has the professional credentials of NP. The NPI Number for Jerome Dorian Boltz is 1578510384 and holds a License No. 5005247 (North Carolina).

The current practice location address for Jerome Dorian Boltz is Medical Center Blvd, Winston Salem, NC and can be reached out via phone at 336-716-2011 and via fax at 336-716-7359.

Location: Medical Center Blvd, Winston Salem, NC, 28260-2658
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1578510384
Provider Name
Jerome Dorian Boltz
Credential
NP
Provider Entity Type
Individual
Gender
Male
Address
Medical Center Blvd, Winston Salem, NC, 28260-2658
Phone Number
336-716-2011
Fax Number
336-716-7359
Provider Enumeration Date
05/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1955 A 01 NC MEDICARE PROVIDER #
institution
Provider Business Practice Location Address Details
Address
Medical Center Blvd
City
Winston Salem
State
North Carolina
Zip
27157-0001
Phone Number
336-716-2011
Fax Number
336-716-7359
person
Provider Business Mailing Address Details
Address
Medical Center Blvd
City
Winston Salem
State
North Carolina
Zip
27157-0001
Phone Number
336-716-2011
Fax Number
336-716-7359
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
5005247 (North Carolina)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
5005247 (North Carolina)
Definition
Definition to come...
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