Individual provider · Type 1 NPI
Jenna Bolger, FNP
Adult Medicine Physician · Glendale, AZ
NPI number
1265163323
Active · reactivated Sep 21, 2022
Practice location
5757 W Thunderbird Rd Ste W212
Glendale, AZ 85306-5607
Mailing address
4202 E Cactus Rd Apt 8306
Phoenix, AZ 85032-7669
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Medicine Physician Primary | 207QA0505X | F06220820 (AZ) |
Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.
2 other providers at this address
Other adult medicine physician providers in Glendale
About NPI 1265163323
Jenna Bolger, FNP's National Provider Identifier is 1265163323, issued on Jun 20, 2022. The primary taxonomy on file is Adult Medicine Physician (207QA0505X), and the practice location is in Glendale, AZ. The record was last updated on Sep 21, 2022.