MRS. JENNY LOU BOLES NURSE PRACTITIONER NPI 1265658561

NPI Information

NPI: 1265658561
Provider Name: MRS. JENNY LOU BOLES, NURSE PRACTITIONER
Classification: Nurse Practitioner - 363LW0102X
Entity Type: Individual

Specialization: Women's Health

Address:
1910 E SOUTHERN AVE STE 107
TEMPE, AZ
ZIP 85282
Phone: (480) 969-5613
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MRS. Jenny Lou Boles, NURSE PRACTITIONER is a women's health nurse practitioner in Tempe, AZ. MRS. Jenny Lou Boles, NURSE PRACTITIONER NPI is 1265658561. 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:

1910 E SOUTHERN AVE STE 107
TEMPE, AZ
ZIP 85282-592
Phone: (480) 969-5613
Fax: (480) 844-0622

The enumeration date for this NPI number is 4/17/2007 and was last updated on 7/9/2007.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LW0102X	Nurse Practitioner	Women's Health	RN065960	ARIZONA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	23066	MEDICARE ID-TYPE UNSPECIFIED	ARIZONA	NURSE PRACTITIONER
2	S55987	MEDICARE UPIN	ARIZONA

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

NPI Synchronization or Removal

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