Individual provider · Type 1 NPI

Jennifer Chism Bolen, FNP-C

Family Nurse Practitioner · Ecru, MS

NPI number 1639720550 Active

About NPI 1639720550

Jennifer Chism Bolen, FNP-C's National Provider Identifier is 1639720550, issued on Sep 23, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Ecru, MS. The record was last updated on Sep 23, 2019.