Organization
BOLDENS INNOVATIVE HEALTHCARE LLC
Active
Other names
Bold N Gams Health Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JACQUELINE LORRAINE GRIFFIN APRN/FNP-C (DIRECTOR/CEO)
(804) 616-1304
Entity
Organization
Contact information
Practice address
6437 OLD TOWNPOINT RD, SUFFOLK, VA 23435-3480
(804) 616-1304
Mailing address
6437 OLD TOWNPOINT RD, SUFFOLK, VA 23435-3480
(804) 616-1304
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/11/2022
Last updated
05/11/2022
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