Individual
LATOIA T BOLTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP APRN NP-C
Contact information
Practice address
7 LAKELAND CIR STE 500, JACKSON, MS 39216-5022
(601) 300-3935
(769) 241-0003
Mailing address
180 BROOKLYNN ST, BYRAM, MS 39272-4518
(601) 940-6505
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
904497
MS
Other
Enumeration date
03/03/2021
Last updated
03/03/2021
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