Individual
JENNIFER LYNN BOLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
903 NW WASHINGTON BLVD STE A, HAMILTON, OH 45013-6367
(513) 454-1111
Mailing address
300 HIGH ST FL 4, HAMILTON, OH 45011-6078
(513) 454-1460
(513) 863-3053
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
35.098053
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0054909
—
OH
Enumeration date
01/07/2008
Last updated
08/18/2021
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