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Melissa L Bolton, APN

Nurse Practitioner in Jackson, TN. Individual provider (NPI-1).

NPI number1306026950
StatusActive
Last updated in NPPESMay 25, 2018

Details

NPI
1306026950
Entity type
Individual (NPI-1)
Name
Melissa L Bolton
Credential
APN
Sex
Female
Sole proprietor
No
Enumeration date
Nov 13, 2007
Last updated
May 25, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363L00000X Nurse Practitioner13076TNYes
363LA2100X Nurse Practitioner, Acute Care13076TN

Practice location

3441 Ridgecrest Road Ext # Exd
Jackson, TN 38305

Phone 731-988-9119 · Fax 731-660-8739

Mailing address

1804 Highway 45 Byp Ste 604
Jackson, TN 38305-4403

Phone 731-660-7971 · Fax 731-660-8739

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