Individual provider · Type 1 NPI
Jessica Bolz, NP
Pediatric Nurse Practitioner · New York, NY
NPI number
1801503909
Active
Practice location
1184 5th Ave
New York, NY 10029-6503
Mailing address
200 E 33rd St Apt 18D
New York, NY 10016-4829
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 383299 (NY) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1801503909
Jessica Bolz, NP's National Provider Identifier is 1801503909, issued on Oct 31, 2022. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in New York, NY. The record was last updated on Oct 31, 2022.