Latoia T Bolton, DNP APRN NP-C

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

904497 Issued in MS

Practice address

7 Lakeland Cir Ste 500
Jackson, MS 39216-5022

Phone

(601) 300-3935

Fax

(769) 241-0003

NPI assigned

Mar 3, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1614729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614729600000",
    "number": "1144815960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 BROOKLYNN ST",
            "city": "BYRAM",
            "state": "MS",
            "postal_code": "392724518",
            "telephone_number": "601-940-6505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 LAKELAND CIR STE 500",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392165022",
            "telephone_number": "601-300-3935",
            "fax_number": "769-241-0003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLTON",
        "first_name": "LATOIA",
        "middle_name": "T",
        "credential": "DNP APRN NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-03",
        "last_updated": "2021-03-03",
        "certification_date": "2021-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MS",
            "license": "904497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Bolela
• James D Boles, PHARM D
• Meredith Mills Boles
• Angela L. Boleware, FNP
• Richard C Boleware, CP
• Gareth Bond
• Kylie Elizabeth Bond, AUD
• Lisa B Bonds, CFNP
• Donald R Bonner, D.O.
• Frank P Bonvillain, M.D.

• Adult Health Nurse Practitioner in Jackson, MS
• Providers in Jackson, MS by specialty
• Adult Health Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.