Angela Bolen, FNP-C Valid NPI

Individual provider · Family Nurse Practitioner · Jackson, AL

NPI

1154160406

Type

Individual (Type 1)

Primary specialty

Family Nurse Practitioner (Nurse Practitioner)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363LF0000X

License number

1-102373 (AL)

Sex

Female

Sole proprietor

No

Enumerated

2024-05-24

Last updated

2025-03-25