Individual
ANGELA BOLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
220 HOSPITAL DR, JACKSON, AL 36545-2459
(251) 246-9021
Mailing address
220 HOSPITAL DR, JACKSON, AL 36545-2459
(251) 246-9021
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-102373
AL
Other
Enumeration date
05/24/2024
Last updated
03/25/2025
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