MRS. JACQUELYN BOLAND


Address: 34th Street & Civic Center Boulevard, Philadelphia, PA 19104
Phone: 2155903084

MRS. JACQUELYN BOLAND (NPI# 1376885897) 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) 1376885897
Entity Type Individual
Full Name MRS. JACQUELYN BOLAND
Credential NNP-BC
Practice Address 34th Street & Civic Center Boulevard
Philadelphia
PA 19104
Mailing Address 83 Deer Horn Dr
Mount Royal
NJ 08061-1089
Practice Telephone 2155903084
Mailing Telephone 5714395119
Enumeration Date 2013-03-22
Last Update Date 2015-01-23
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LN0000X Nurse Practitioner
Specialization: Neonatal 		SP012733 PA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 34TH STREET & CIVIC CENTER BOULEVARD
City PHILADELPHIA
State PA
Zip Code 19104

Providers in the same location

NPI Name Taxonomy Address Enumeration
1225027808 Marciarose Winston Nurse Practitioner 34th Street & Civic Center Boulevard, The Children's Hospital of Philadelphia, Philadelphia, PA 19104-4399 2005-10-17
1568753911 Mary Kate Klarich Nurse Practitioner 34th Street & Civic Center Boulevard, Wood Ambulatory Care Building 5th Floor, Philadelphia, PA 19104 2011-04-20
1982939518 Jacqueline E Crawford Nurse Practitioner 34th Street & Civic Center Boulevard, Philadelphia, PA 19104-4399 2009-10-15
1114155991 Wallis Taylor Muhly Anesthesiology 34th Street & Civic Center Boulevard, Suite 9329, Philadelphia, PA 19104-4399 2009-06-30
1396972873 Jennifer L Raynor Nurse Anesthetist, Certified Registered 34th Street & Civic Center Boulevard, Suite 9329, Philadelphia, PA 19104-4399 2009-06-11
1659521581 Amanda Renee Holdridge Nurse Practitioner 34th Street & Civic Center Boulevard, Philadelphia, PA 19104-4399 2008-09-29
1326203340 Philomena Mary Konen Nurse Practitioner 34th Street & Civic Center Boulevard, Philadelphia, PA 19104-4399 2008-07-21
1831352004 Cynthia Dyanne Alibrando Nurse Practitioner 34th Street & Civic Center Boulevard, Philadelphia, PA 19104 2008-07-08
1740464346 Lia Welsch Mcneely Nurse Practitioner 34th Street & Civic Center Boulevard, 2nd Floor Wood Building, Philadelphia, PA 19104-4399 2007-12-19
1477745040 Jodi Chen Pediatrics 34th Street & Civic Center Boulevard, Suite 9329, Philadelphia, PA 19104-4399 2007-08-16
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1639770829 Michelle Morris Student in an Organized Health Care Education/Training Program Dept. of Family Medicine & Community Health, 3737 Market, Philadelphia, PA 19104 2020-11-04
1346853041 Spectrum Health Services, Inc. Clinic/Center 1415 South University Ave, Philadelphia, PA 19104 2020-08-24
1770104259 Fatimah Sorefan-mangou Student in an Organized Health Care Education/Training Program 4 Maloney 3400 Spruce Street, Philadelphia, PA 19104 2020-05-06
1114548690 Rebecca Blaguski Registered Nurse The Hospital of The University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA 19104 2020-05-06
1952944175 Rebecca Miriam Barmherzig Psychiatry & Neurology 3501 Civic Centre Blvd, 10th Flr Ctrb, Neurology, Philadelphia, PA 19104 2019-10-21
1891257101 James Paul Byrne Surgery Penn Presbyterian Medical Center, Division of Trauma, S, 51 N. 39th Street, Suite 120, 1st Floor Medical Office, Philadelphia, PA 19104 2019-04-04
1093276453 Lauren Shreve Student in an Organized Health Care Education/Training Program Department of Surgery, Surgery Education - Penn Health, 3400 Spruce Street, 4 Maloney, Philadelphia, PA 19104 2019-03-28
1285194282 Lauren M Christie Student in an Organized Health Care Education/Training Program Penn Presbyterian Medical Center, 51 N. 39th Street, Philadelphia, PA 19104 2019-03-25
1114487683 Sabrina Layne Student in an Organized Health Care Education/Training Program 3400 Spruce Street, 100 Centrex, Philadelphia, PA 19104 2019-03-21
1811457310 Kia Lor Student in an Organized Health Care Education/Training Program Hospital of University of Pennsylvania, 3400 Spruce St., Philadelphia, PA 19104 2019-03-21
Find all providers in zip 19104

Taxonomy Information

Taxonomy Code 363LN0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Neonatal

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1841699121 Rachel Renee Wiener Nurse Practitioner 34th and Spruce Street, 8th Floor Ravdin, Philadelphia, PA 19104 2014-08-22
1447554951 Motria A Lonchyna Nurse Practitioner 34th St and Clivic Center Blvd, Philadelphia, PA 19104 2010-12-28
1447873153 Nicole Abbott Nurse Practitioner 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 2020-05-28
1578196887 Courtney J. Lofts Nurse Practitioner 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 2020-02-14
1083182547 Melanie Lynn Gumina Nurse Practitioner 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 2018-11-02
1225543291 Michelle Joye Lampkin Nurse Practitioner 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 2017-12-12
1689105470 Meghann Freyer Nurse Practitioner 3400 Civic Center Blvd, Philadelphia, PA 19104-5127 2017-03-23
1598211278 Meredith White Nurse Practitioner 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 2016-08-31
1417316399 Vrithi Rakesh Shah Nurse Practitioner 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 2016-02-19
1629435169 Yadiris Czerniak Nurse Practitioner 160 E Erie Ave, Philadelphia, PA 19134-1011 2016-01-27
Find all providers in PHILADELPHIA

Competitor

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City PHILADELPHIA
Zip Code 19104

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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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