Individual
JENNIFER BOLIN GOULD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
10628 PARK RD, ANESTHESIA SERVICES, CHARLOTTE, NC 28210-8407
(704) 667-1970
(704) 667-1684
Mailing address
4400 GOLF ACRES DR, STE A, CHARLOTTE, NC 28208-5906
(704) 512-6428
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
238403
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8054354
—
NC
05
—
NAN153
—
SC
Enumeration date
01/17/2013
Last updated
04/21/2017
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