Dr. Julie Nicole Boisen, MD

Dermatology in Waco, TX. Individual provider (NPI-1).

NPI number1871950667

StatusActive

Last updated in NPPESSep 10, 2024

Details

NPI: 1871950667
Entity type: Individual (NPI-1)
Name: Dr. Julie Nicole Boisen
Credential: MD
Sex: Female
Sole proprietor: No
Enumeration date: Jan 25, 2016
Certification date: Sep 10, 2024
Last updated: Sep 10, 2024

Medicare and OIG

Medicare enrolled (PECOS): Yes · PRACTITIONER - DERMATOLOGY
Can order and refer: Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207N00000X	Dermatology	25167636	TX	Yes
208D00000X	General Practice	0101262956	VA

Other names

Julie Nicole Taylor (Former Name)

Practice location

7700 Fish Pond Rd
Waco, TX 76710-1031

Phone 254-724-2111

Mailing address

Po Box 844658
Dallas, TX 75284-4658

Is something wrong?

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Other Dermatology Physician providers in Waco, TX

All 13 Dermatology Physician providers in Waco · All 4,231 providers in Waco

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