Individual provider · Type 1 NPI

Brooke Nicole Bolden, NP

Nurse Practitioner · Jackson, GA

NPI number 1891682886 Active

Practice location

146 Sylvan Dr
Jackson, GA 30233-1548

Mailing address

274 Wildflower Dr
Social Circle, GA 30025-4334

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XRN235702 (GA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1891682886

Brooke Nicole Bolden, NP's National Provider Identifier is 1891682886, issued on Jun 21, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Jackson, GA. The record was last updated on Jun 21, 2025.