Individual
JESSICA MARIE BOLANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-BC
Contact information
Practice address
1249 15TH STREET, SUITE 3000, HUNTINGTON, WV 25701-3663
(304) 691-1000
(304) 691-1693
Mailing address
1448 10TH AVENUE, SUITE 304, HUNTINGTON, WV 25701-3579
(304) 691-6381
(304) 691-8591
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
120342
WV
Other
Enumeration date
07/11/2024
Last updated
10/24/2024
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