JEFFREY KARL BOSOLD (NPI# 1396941522) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396941522 |
| Entity Type | Individual |
| Full Name | JEFFREY KARL BOSOLD |
| Credential | APN |
| Practice Address |
3812 West Main Russellville AR 72801 |
| Mailing Address |
Po Box 10185 Russellville AR 72812-0185 |
| Practice Telephone | 4799681245 |
| Practice Fax Number | 4799684137 |
| Mailing Telephone | 4799685748 |
| Mailing Fax Number | 4799684137 |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2020-04-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | A001909 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
A01909 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3812 WEST MAIN |
| City | RUSSELLVILLE |
| State | AR |
| Zip Code | 72801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770927121 | Jessica Louise Mcneese | Nurse Practitioner | 3812 West Main, Russellville, AR 72801 | 2013-04-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962002782 | Randy Paul Stayton | Pharmacist | 2109 W Main, Russellville, AR 72801 | 2020-10-30 |
| 1871134825 | Just Spreading Love Senior Care LLC | Student in an Organized Health Care Education/Training Program | 1411 N. Pittsburg Avenue, Russellville, AR 72801 | 2019-10-01 |
| 1124670369 | Richard L Morgan Dds Pa | Dentist | 1700 West C Place, Russellville, AR 72801 | 2019-07-09 |
| 1407342371 | Andrew James Hickman | Optometrist | 2711 E Parkway Drive, Russellville, AR 72801 | 2018-07-03 |
| 1154859833 | Felicia Head | Speech-Language Pathologist | 220 W 10th St., Russellville, AR 72801 | 2017-05-25 |
| 1295281293 | Arkansas Liver and Gastroenterology, P.a. | Internal Medicine | 1605 West Main Street, Russellville, AR 72801 | 2016-08-30 |
| 1467802405 | Kah Development 4, LLC | Hospice Care, Community Based | 3801 W Main St Ste A, Russellville, AR 72801 | 2016-06-21 |
| 1871904839 | Sleep Partners, LLC | Clinic/Center | 1310 West B Street, Suite A, Russellville, AR 72801 | 2014-05-13 |
| 1942647029 | Rpi Sleep Complete LLC | Clinic/Center | 1310 West Main Street, Suite 201, Russellville, AR 72801 | 2013-05-29 |
| 1184967291 | Amedco Arkansas Pllc | Optometrist | 302 N. Phoenix Ave., Clark Eye Clinic, Russellville, AR 72801 | 2013-03-27 |
| Find all providers in zip 72801 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104471911 | Lashawnda Lee | Nurse Practitioner | 60 Shelton Lane, Russellville, KY 42276 | 2019-08-08 |
| 1649731829 | Haley Shaleigh Knight | Nurse Practitioner | 15225 Highway 43 Ste I, Russellville, AL 35653-1969 | 2019-03-28 |
| 1427516418 | Hanna Helich Henderson | Nurse Practitioner | 1040 Beth Dr, Russellville, TN 37860-8985 | 2019-03-08 |
| 1669979530 | Robin Lenora Franke | Nurse Practitioner | 3127 W 2nd Ct Ste B, Russellville, AR 72801-4566 | 2018-04-09 |
| 1679024798 | Teresa Anne Distler | Nurse Practitioner | 12103 County Line Rd, Russellville, MO 65074-2814 | 2016-10-24 |
| 1487003364 | Robert Barnowsky | Nurse Practitioner | 101 James N Hovater Rd, Russellville, AL 35653-0626 | 2016-06-10 |
| 1457706012 | Sarah Baxley | Nurse Practitioner | 106 Weir Rd, Ste 4, Russellville, AR 72802-9445 | 2016-05-02 |
| 1720385545 | Robin Michelle Joslin | Nurse Practitioner | 1605 Coliseuam Drive Doc Bryan Building, Suite 119, Russellville, AR 72801 | 2011-02-14 |
| 1710116066 | Family Medical Clinic LLC | Nurse Practitioner | 1355 George Wallace Hwy, Russellville, AL 35654-3281 | 2009-07-08 |
| 1821245069 | Agalia Renea Baker | Nurse Practitioner | 350 Walleye Dr, Russellville, AR 72802-7282 | 2008-08-19 |
| Find all providers in RUSSELLVILLE | ||||
| City | RUSSELLVILLE |
| Zip Code | 72801 |
Please comment or provide details below to improve the information on JEFFREY KARL BOSOLD.
| 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.