FANNIE GRACE BOLDEN


Address: 317 Broadway, Camden, NJ 08013
Phone: 8563653519

FANNIE GRACE BOLDEN (NPI# 1366452971) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1366452971
Entity Type Individual
Full Name FANNIE GRACE BOLDEN
Credential RN APNC
Practice Address 317 Broadway
Camden
NJ 08013
Mailing Address 115 Wright Ave
Apt D34
Stratford
NJ 08084
Practice Telephone 8563653519
Practice Fax Number 8569632185
Mailing Telephone 8567832175
Mailing Fax Number 8569632185
Enumeration Date 2006-08-08
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LX0001X Nurse Practitioner
Specialization: Obstetrics & Gynecology
26NN01681200 NJ Physician Assistants & Advanced Practice Nursing Providers

Other Providers FANNIE BOLDEN

NPI Name Taxonomy Address Enumeration
1558518928 Fannie Bolden Counselor 608 S Highway 65 82, Ste B, Lake Village, AR 71653-1743 2008-08-27

Office Location

Street Address 317 BROADWAY
City CAMDEN
State NJ
Zip Code 08013

Providers in the same location

NPI Name Taxonomy Address Enumeration
1568472124 Rebecca Lynn Brady Registered Nurse 317 Broadway, Camden, NJ 08103 2006-08-08
1972930576 Rosemary Przychowicz Registered Nurse 317 Broadway, Camden, NJ 08103 2013-09-27
1528216017 Juanita Yvonne Brathewaite Licensed Practical Nurse 317 Broadway, Camden, NJ 08103 2008-09-09
1538332044 Jacqueline Lee Moore Licensed Practical Nurse 317 Broadway, Planned Parenthood of Southern New Jersey, Camden, NJ 08103 2008-04-04
1356406151 Sharon A Banks Nurse Practitioner 317 Broadway, Planned Parenthood of Southern Nj, Camden, NJ 08103 2006-12-22
1386716678 Mildred E Mccaskill Nurse Practitioner 317 Broadway, Camden, NJ 08013 2006-11-14
1407931645 Ruth Barbara Tatz Registered Nurse 317 Broadway, Planned Parenthood of Southern New Jersey, Camden, NJ 08057 2006-10-26
1013097633 Jami Erin Recchia Licensed Practical Nurse 317 Broadway, Planned Parenthood of Southern Nj, Camden, NJ 08103 2006-10-17
1629186374 Planned Parenthood of Northern, Central, and Southern New Jersey, Inc. Clinic/Center 317 Broadway, Camden, NJ 08103 2006-08-25
1699785220 Cheryl Lynn Felt Nurse Practitioner 317 Broadway, Camden, NJ 08103 2006-08-08
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1669863692 Erica Dionne Hill Counselor 636 Benson St, Camden, NJ 08013 2015-02-12

Taxonomy Information

Taxonomy Code 363LX0001X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Obstetrics & Gynecology

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1952844847 Erica Tsakiris Nurse Practitioner 317 S Broadway, Camden, NJ 08103 2016-11-23
1194856658 Karen Lynn Kramer Nurse Practitioner 326 Penn St, 2nd Floor, Rutgers University Health Service, Camden, NJ 08102-1410 2007-03-08
1659467017 Frances Catherine Doria Nurse Practitioner 3 Cooper Plz Rm 104, Camden, NJ 08103 2006-10-05
1497858351 Tobi Faith Smolensky Nurse Practitioner 1 Cooper Plz, Camden, NJ 08103-1461 2006-09-06
1912009135 Antoinette Falconi-mccahill Nurse Practitioner 817 Federal Street, Camden, NJ 08103 2006-09-01
1699785220 Cheryl Lynn Felt Nurse Practitioner 317 Broadway, Camden, NJ 08103 2006-08-08
1821008459 Sarah Jane Paskman Nurse Practitioner 317 Broadway, Camden, NJ 08103 2006-08-08

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1891316725 Lynda Nolan Nurse Practitioner 24 Dogwood Dr, Whitehouse Station, NJ 08889-3374 2020-05-01
1669929782 Courtney Lynne Chambers Nurse Practitioner 16 Aristone Drive, Berlin, NJ 08009 2016-09-07
1326358862 Edith T Meier Nurse Practitioner 80 Eisenhower Drive, Suite 200, Paramus, NJ 07652 2010-10-18
1114231578 Susan Righter Grimes Nurse Practitioner 7g Heritage Dr, Chatham, NJ 07928-2966 2010-07-27
1285897215 Melissa E Sorey Nurse Practitioner 1805 Route 206 # 111213, Southampton, NJ 08088-3558 2008-07-09
1033302757 Deborah Lee Saltmarsh Nurse Practitioner 224 Ocean St, Beach Haven, NJ 08008-1628 2007-08-27
1801096607 Jill Elizabeth Chisholm Nurse Practitioner 75 Claremont Rd Ste 308, Bernardsville, NJ 07924-2271 2007-07-19
1982629432 Terri Fuller Nurse Practitioner 694 Rt 15 S. Plaza, Suite 105, Lake Hopatcong, NJ 07849 2006-07-13
1326013434 Mary Yori Nurse Practitioner 399 Liberty Ave, Jersey City, NJ 07307-4101 2006-02-22
1023554003 Monique Erika Schneider Nurse Practitioner 222 Oak Ave, Third Floor, Toms River, NJ 08753-3348 2017-01-13
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Competitor

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City CAMDEN
Zip Code 08013

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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