Provider Demographics
NPI:1801137898
Name:BOYCOTT, JULIE EVELYN (CRNP)
Entity type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:EVELYN
Last Name:BOYCOTT
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115 W CLAY ST
Mailing Address - Street 2:
Mailing Address - City:SYLACAUGA
Mailing Address - State:AL
Mailing Address - Zip Code:35150-3413
Mailing Address - Country:US
Mailing Address - Phone:256-245-3267
Mailing Address - Fax:
Practice Address - Street 1:115 W CLAY ST
Practice Address - Street 2:
Practice Address - City:SYLACAUGA
Practice Address - State:AL
Practice Address - Zip Code:35150-3413
Practice Address - Country:US
Practice Address - Phone:256-245-3267
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-03-15
Last Update Date:2013-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-127544363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily