Individual provider · Type 1 NPI

Stephen Bolivar, NP

Family Nurse Practitioner · Southaven, MS

NPI number 1598199291 Active

Practice location

401 Southcrest Cir Ste 202
Southaven, MS 38671-6719

Fax (901) 763-3694

Mailing address

3158 Meadows Way
Hernando, MS 38632-1090

Other practice locations

  • 5659 S Rex Rd, Memphis, TN 38119-3821 · (901) 763-3636
  • 8138 Country Village Dr, Cordova, TN 38016-2029 · (901) 725-8606
  • 401 Southcrest Cir Ste 104, Southaven, MS 38671-6712 · (662) 536-2281
  • 2100 Exeter Rd, Germantown, TN 38138-3966 · (901) 757-1350

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X888641 (MS)

Family Nurse Practitioner: Definition to come...

2 other providers at this address

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About NPI 1598199291

Stephen Bolivar, NP's National Provider Identifier is 1598199291, issued on Aug 29, 2013. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Southaven, MS. The record was last updated on Sep 3, 2026.