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Angela L. Boleware, FNP
Nurse Practitioner in Jackson, Mississippi
NPI 1538189048

Angela L. Boleware is a Nurse Practitioner based in Jackson, MS. Angela L. Boleware practices in Jackson, MS and has the professional credentials of FNP. The NPI Number for Angela L. Boleware is 1538189048 and holds a License No. R543195 (Mississippi).

The current practice location address for Angela L. Boleware is 2500 North State Street, Jackson, MS and can be reached out via phone at 601-984-5660.

Location: 2500 North State Street, Jackson, MS, 39216-4500
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1538189048
Provider Name
Angela L. Boleware
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
2500 North State Street, Jackson, MS, 39216-4500
Phone Number
601-984-5660
Fax Number
Provider Enumeration Date
07/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
09538704 05 MS
RR P00321105 01 MS RAILROAD
P01236766 01 MS RAILROAD MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
2500 North State Street
City
Jackson
State
Mississippi
Zip
39216-4500
Phone Number
601-984-5660
Fax Number
person
Provider Business Mailing Address Details
Address
2500 North State Street
City
Jackson
State
Mississippi
Zip
39216-4500
Phone Number
601-984-5660
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
-
Taxonomy
207R00000X
License No.
R543195 (Mississippi)
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
R543195 (Mississippi)
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.
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