Bolton, Melissa L

Bolton, Melissa L is an individual health care provider with primary practice located at 3441 Ridgecrest Road Ext # Exd , Jackson TN 38305. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Bolton, Melissa L can be contacted via phone (731) 988-9119.

Contact Information

Primary practice address
3441 Ridgecrest Road Ext # Exd Jackson TN 38305
Phone: (731) 988-9119
Fax: (731) 660-8739
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 13076 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 13076 Tennessee

Profile Details

NPI number 1306026950
LBN Legal business name Bolton, Melissa L
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 13th, 2007
Last updated May 25th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306026950 NPPES
Tennessee Other 13076 APN LICENSE

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