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JESSICA BOLDEN FNP NPI 1144754680


NPI Information

NPI: 1144754680
Provider Name: JESSICA BOLDEN, FNP
Classification: Nurse Practitioner - 363LP2300X
Entity Type: Individual

Specialization: Primary Care

PECOS Registration: Yes

Address:
801 E GREENVILLE ST
ANDERSON, SC
ZIP 29621
Phone: (864) 512-7550
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Jessica Bolden, FNP is a primary care nurse practitioner in Anderson, SC with 8 years of experience. Jessica Bolden, FNP NPI is 1144754680. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

801 E GREENVILLE ST
ANDERSON, SC
ZIP 29621-070
Phone: (864) 512-7550
Fax: (864) 512-7448

The NPI 1144754680 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Administration of pneumococcal vaccine (HCPCS:G0009)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Hemoglobin a1c level (HCPCS:83036)

The enumeration date for this NPI number is 4/11/2017 and was last updated on 1/5/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LP2300XNurse PractitionerPrimary Care20768SOUTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.