Individual
DR. JAMES WADE BOLTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC, APRN, FNP-C
Contact information
Practice address
340 N CEDAR AVE, COOKEVILLE, TN 38501-2421
(931) 783-5353
(931) 783-4994
Mailing address
140 W 7TH ST, COOKEVILLE, TN 38501-1726
(931) 783-5582
(931) 526-6760
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
2108
TN
111NR0400X
Rehabilitation Chiropractor
2108
TN
163W00000X
Registered Nurse
208311
TN
363LF0000X
Family Nurse Practitioner
Primary
24437
TN
363LP2300X
Primary Care Nurse Practitioner
24437
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24437
ADVANCED PRACTICE REGISTERED NURSE
TN
Enumeration date
06/22/2005
Last updated
05/27/2022
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