JEFFREY KARL BOSOLD APN NPI 1396941522

NPI Information

NPI: 1396941522
Provider Name: JEFFREY KARL BOSOLD, APN
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
3812 WEST MAIN
RUSSELLVILLE, AR
ZIP 72801
Phone: (479) 968-1245
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Jeffrey Karl Bosold, APN is a family nurse practitioner in Russellville, AR. Jeffrey Karl Bosold, APN NPI is 1396941522. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3812 WEST MAIN
RUSSELLVILLE, AR
ZIP 72801
Phone: (479) 968-1245
Fax: (479) 968-4137

The NPI 1396941522 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 enumeration date for this NPI number is 6/25/2007 and was last updated on 4/7/2020.

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		A001909	ARKANSAS	No
2	363LF0000X	Nurse Practitioner	Family	A01909	ARKANSAS	Yes

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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