James Melvin Bolden Jr., RN
Homemaker in Memphis, TN. Individual provider (NPI-1).
NPI number1407163223
StatusActive
Last updated in NPPESSep 1, 2010
Details
- NPI
- 1407163223
- Entity type
- Individual (NPI-1)
- Name
- Mr. James Melvin Bolden Jr.
- Credential
- RN
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 1, 2010
- Last updated
- Sep 1, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 376J00000X | Homemaker | 1000000007148 | TN | Yes |
| 372500000X | Chore Provider | 1000000007148 | TN | |
| 372600000X | Adult Companion | 1000000007148 | TN | |
| 3747A0650X | Technician, Attendant Care Provider | 1000000007148 | TN | |
| 3747P1801X | Technician, Personal Care Attendant | 1000000007148 | TN |
Practice location
3540 Summer Ave409
Memphis, TN 38122-3600
Phone 901-490-2636
Mailing address
3540 Summer Ave409
Memphis, TN 38122-3600
Phone 901-490-2636
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