Individual
JENNI LAYNE BOLTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP, AGNP-C
Contact information
Practice address
550 SUMMIT AVE STE 101, TROY, OH 45373-3047
(937) 335-5191
Mailing address
3170 KETTERING BLVD BLDG B3, MORAINE, OH 45439-1924
(937) 991-3100
(937) 223-9811
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
0027579
OH
Other
Enumeration date
10/28/2020
Last updated
02/09/2021
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