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).
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 |
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 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558518928 | Fannie Bolden | Counselor | 608 S Highway 65 82, Ste B, Lake Village, AR 71653-1743 | 2008-08-27 |
Street Address |
317 BROADWAY |
City | CAMDEN |
State | NJ |
Zip Code | 08013 |
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 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669863692 | Erica Dionne Hill | Counselor | 636 Benson St, Camden, NJ 08013 | 2015-02-12 |
Taxonomy Code | 363LX0001X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Obstetrics & Gynecology |
Definition to come... |
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 |
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 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on FANNIE GRACE BOLDEN.
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.