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Jennifer Chism Bolen, FNP-C
Family Nurse Practitioner in Ecru, Mississippi
NPI 1639720550

Jennifer Chism Bolen is a Family Nurse Practitioner based in Ecru, MS and is specialized in Family. Jennifer Chism Bolen practices in Ecru, MS and has the professional credentials of FNP-C. The NPI Number for Jennifer Chism Bolen is 1639720550 and holds a License No. F08191029 (Mississippi).

The current practice location address for Jennifer Chism Bolen is 5482 Ms-15, Ecru, MS and can be reached out via phone at 662-488-8799.

Location: 5482 Ms-15, Ecru, MS, 38841
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1639720550
Provider Name
Jennifer Chism Bolen
Credential
FNP-C
Provider Entity Type
Individual
Gender
Female
Address
5482 Ms-15, Ecru, MS, 38841
Phone Number
662-488-8799
Fax Number
Provider Enumeration Date
09/23/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5482 Ms-15
City
Ecru
State
Mississippi
Zip
38841
Phone Number
662-488-8799
Fax Number
person
Provider Business Mailing Address Details
Address
5482 Ms-15
City
Ecru
State
Mississippi
Zip
38841
Phone Number
662-488-8799
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
F08191029 (Mississippi)
Definition
Definition to come...
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