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Matthew Dane Bolton, CNP
Nurse Practitioner in Hattiesburg, Mississippi
NPI 1891163598

Matthew Dane Bolton is a Nurse Practitioner based in Hattiesburg, MS. Matthew Dane Bolton practices in Hattiesburg, MS and has the professional credentials of CNP. The NPI Number for Matthew Dane Bolton is 1891163598 and holds a License No. R885021 (Mississippi).

The current practice location address for Matthew Dane Bolton is 908 W Pine St, Hattiesburg, MS and can be reached out via phone at 601-268-5850 and via fax at 601-544-3545.

Location: 908 W Pine St, Hattiesburg, MS, 39401-7246
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1891163598
Provider Name
Matthew Dane Bolton
Credential
CNP
Provider Entity Type
Individual
Gender
Male
Address
908 W Pine St, Hattiesburg, MS, 39401-7246
Phone Number
601-268-5850
Fax Number
601-544-3545
Provider Enumeration Date
09/11/2015
Last Update Date
08/17/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00880352 05 MS
institution
Provider Business Practice Location Address Details
Address
908 W Pine St
City
Hattiesburg
State
Mississippi
Zip
39401-4262
Phone Number
601-268-5850
Fax Number
601-544-3545
person
Provider Business Mailing Address Details
Address
908 W Pine St
City
Hattiesburg
State
Mississippi
Zip
39401-4262
Phone Number
601-268-5850
Fax Number
601-544-3545
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
R885021 (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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