MRS. KATHLEEN MARIE BOCKHOLD MSN ARNP-BC NPI 1285808626

NPI Information

NPI: 1285808626
Provider Name: MRS. KATHLEEN MARIE BOCKHOLD, MSN, ARNP-BC
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

Address:
1365 W BRIERBROOK RD
GERMANTOWN, TN
ZIP 38138
Phone: (662) 349-9990
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MRS. Kathleen Marie Bockhold, MSN, ARNP-BC is an adult health nurse practitioner in Germantown, TN. MRS. Kathleen Marie Bockhold, MSN, ARNP-BC NPI is 1285808626. 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:

1365 W BRIERBROOK RD
GERMANTOWN, TN
ZIP 38138-208
Phone: (662) 349-9990
Fax: (662) 349-2620

The enumeration date for this NPI number is 4/16/2008 and was last updated on 9/15/2010.

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	363L00000X	Nurse Practitioner		A810342	MISSISSIPPI	No
2	363LA2200X	Nurse Practitioner	Adult Health	5965	TENNESSEE	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	103I505663	MEDICARE PIN	TENNESSEE

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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