Individual
MRS. JENNY LOU BOLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
1910 E SOUTHERN AVE STE 107, TEMPE, AZ 85282-7592
(480) 969-5613
(480) 844-0622
Mailing address
415 E QUARTZ ROCK RD, PHOENIX, AZ 85085-0653
(623) 434-1558
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
RN065960
AZ
Other
Enumeration date
04/17/2007
Last updated
07/09/2007
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