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Individual
JAMIE BOLDEN
Active
Individual
JAMIE BOLDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AC005537
MD
363LF0000X
Family Nurse Practitioner
Primary
1058717
TX
363LF0000X
Family Nurse Practitioner
500009897
DC
Other
Enumeration date
11/15/2021
Last updated
06/24/2023
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