MRS. JENNY LOU BOLES (NPI# 1265658561) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265658561 |
| Entity Type | Individual |
| Full Name | MRS. JENNY LOU BOLES |
| Credential | NURSE PRACTITIONER |
| Practice Address |
1910 E Southern Ave Ste 107 Tempe AZ 85282-7592 |
| Mailing Address |
415 E Quartz Rock Rd Phoenix AZ 85085-0653 |
| Practice Telephone | 4809695613 |
| Practice Fax Number | 4808440622 |
| Mailing Telephone | 6234341558 |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
RN065960 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1910 E SOUTHERN AVE STE 107 |
| City | TEMPE |
| State | AZ |
| Zip Code | 85282-7592 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346893575 | Cactus Canyon Dental | Dentist | 2043 E Southern Ave, Ste. C, Tempe, AZ 85282 | 2019-07-17 |
| 1023679644 | Donna Cooks | Registered Nurse | 233 E. Sourthern Ave #27702, Tempe, AZ 85282 | 2019-06-25 |
| 1841854932 | Lynn Stafford | Registered Nurse | 4041 S. Mcclintock, Ste 302, Tempe, AZ 85282 | 2019-04-24 |
| 1598227340 | Jane Ramenofsky Ramenofsky Stewart | Registered Nurse | 4041 So. Mcclintock Suite 302, Tempe, AZ 85282 | 2019-04-02 |
| 1588129902 | Mary K Wheeler Mcfarland | Registered Nurse | Adobe Care and Wellness LLC, Address Is 4041 S. Mcclintock, Ste 302, Tempe, AZ 85282 | 2019-02-11 |
| 1669949780 | Crestview Pharmacy Services LLC | Pharmacy | 3225 South Hardy Dr., Ste 100, Tempe, AZ 85282 | 2018-10-26 |
| 1275018715 | Berlin Wright | Naturopath | 2164 E. Broadway Rd., Tempe, AZ 85282 | 2018-10-01 |
| 1043701543 | Lakeshore Interventional Treatment Center LLC | Surgery | 4765 S Lakeshore Dr, Tempe, AZ 85282 | 2018-05-21 |
| 1427553940 | The Bridge Counseling, Consulting and Mediation LLC | Counselor | 4625 S. Lakeshore Dr., 302, Tempe, AZ 85282 | 2018-03-27 |
| 1346741501 | Coraesthetics Pllc | Physician Assistant | 2008 E Laguna Dr, Tempe, AZ 85282 | 2018-02-23 |
| Find all providers in zip 85282 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295057354 | Sharonelle Simmons, M.d | Nurse Practitioner | 6200 S Mcclintock Dr Ste 104, Tempe, AZ 85283-3268 | 2010-02-17 |
| 1417198136 | Shannon Lisa Mcgrath | Nurse Practitioner | 2155 E Conference Dr Ste 115, Tempe, AZ 85284-2604 | 2009-03-09 |
| 1962565101 | Norma June Leslie | Nurse Practitioner | 1972 E Baseline Rd # B102, Tempe, AZ 85283-1532 | 2006-12-19 |
| 1073981874 | Francisca Fletes | Nurse Practitioner | 6301 S Mcclintock Dr Ste 215, Tempe, AZ 85283-3394 | 2015-09-10 |
| 1548514326 | Dawn M Copeland | Nurse Practitioner | 6301 S Mcclintock Dr Ste 215, Tempe, AZ 85283 | 2012-11-01 |
| 1609161967 | Lindsey Ann Szczepanski | Nurse Practitioner | 6301 S Mcclintock Dr Ste 215, Tempe, AZ 85283 | 2011-06-15 |
| 1437473717 | Patricia Berta Janicek | Nurse Practitioner | 6301 S Mcclintock Dr, Suite 215, Tempe, AZ 85283-3392 | 2010-03-16 |
| 1053633537 | Meghan M Delaney | Nurse Practitioner | 6301 S Mcclintock Dr, Suite 215, Tempe, AZ 85283-3392 | 2010-02-24 |
| 1023267051 | Patricia Ann Faust | Nurse Practitioner | 6200 S Mcclintock Dr, 104, Tempe, AZ 85283-3268 | 2008-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962018952 | Marlene Hildegard Zeller | Nurse Practitioner | 16630 S 38th Pl, Phoenix, AZ 85048-7944 | 2020-09-16 |
| 1235750381 | Gilbert Family Birth Center, LLC | Nurse Practitioner | 246 S Gilbert Rd, Gilbert, AZ 85296-1600 | 2020-04-29 |
| 1962034355 | Jessica Lynn Contreras | Nurse Practitioner | 6704 N 10th Ave, Phoenix, AZ 85013-1008 | 2020-02-04 |
| 1861023921 | Courtney Ann Mackinnon | Nurse Practitioner | 5300 S Sutter Dr Ste 11, Show Low, AZ 85901-8055 | 2020-01-28 |
| 1851948699 | Nicole Marie Keeling | Nurse Practitioner | 3818 S. Val Vista Drive, Suite 101, Gilbert, AZ 85297-7309 | 2019-08-26 |
| 1144786591 | Modern Milk Gilbert | Nurse Practitioner | 3244 E Guadalupe Rd Ste 106, Gilbert, AZ 85234-9605 | 2019-02-11 |
| 1164988515 | Modern Milk | Nurse Practitioner | 13802 N Scottsdale Rd Ste 162, Scottsdale, AZ 85254-3437 | 2019-02-11 |
| 1538638028 | Mamie Elizabeth Ramchandani | Nurse Practitioner | 5750 E Highway 90 Ste 300, Sierra Vista, AZ 85635-9111 | 2018-11-14 |
| 1326565540 | Megan Nicole Spiekermeier | Nurse Practitioner | 3400 N Dysart Rd # 121, Avondale, AZ 85392-1003 | 2017-08-28 |
| 1023560885 | Danielle Marie Villatoro | Nurse Practitioner | 9731 S Camino De La Calinda, Vail, AZ 85641 | 2016-10-27 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MRS. JENNY LOU BOLES.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.