Jamison, Glendora Bolar
Jamison, Glendora Bolar is an individual health care provider with primary practice located at 1303 Dr Martin L King Jr Ave , Mobile AL 36603-5341. She recently has 4 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Community Health, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Jamison, Glendora Bolar can be contacted via phone (251) 432-4117.Contact Information
Primary practice address
1303 Dr Martin L King Jr Ave
Mobile AL 36603-5341
Phone: (251) 432-4117
Fax: (251) 964-4012
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 1-042513 | Alabama |
| Physician Assistants & Advanced Practice Nursing Providers / Community Health | 363LC1500X | 1-042513 | Alabama |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 1-042513 | Alabama |
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | 1-042513 | Alabama |
Profile Details
| NPI number | 1821371717 |
|---|---|
| LBN Legal business name | Jamison, Glendora Bolar |
| Credentials | CRNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 27th, 2011 |
| Last updated | Sep 27th, 2011 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821371717 | NPPES |
| Alabama | Other | 1-042513 | STATE LICENSE |
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