Individual
MARISSA BOLDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
214 BELLEVUE CIR, JACKSONVILLE, AR 72076-3841
(501) 352-9764
Mailing address
214 BELLEVUE CIR, JACKSONVILLE, AR 72076-3841
(501) 352-9764
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
AR
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
AR
Other
Enumeration date
07/09/2025
Last updated
07/09/2025
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