Jenny Lou Boles, NURSE PRACTITIONER

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

RN065960 Issued in AZ

Practice address

1910 E Southern Ave Ste 107
Tempe, AZ 85282-7592

Phone

(480) 969-5613

Fax

(480) 844-0622

NPI assigned

Apr 17, 2007

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sharon L. Boyer DO PLLC

  • Gynecology Physician
  • Mesa, AZ
  • NPI 1659566339
  NPD (past)

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1265658561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 E QUARTZ ROCK RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850850653",
            "telephone_number": "623-434-1558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 E SOUTHERN AVE STE 107",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852827592",
            "telephone_number": "480-969-5613",
            "fax_number": "480-844-0622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLES",
        "first_name": "JENNY",
        "middle_name": "LOU",
        "name_prefix": "Mrs.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-17",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "AZ",
            "license": "RN065960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Michael Bohannan, LCSW
• Emily N Bohn, BS, RBT
• Linda Bohnet, LPC
• Katalin H Boleratzky, MD
• Donald J Boles Jr., MD
• Jennifer E Boll, M.D.
• Molly Anne Bond, DC
• Brittany Bonfield, NP
• Elizabeth Boomer
• Melissa Ann Bootz

• Women's Health Nurse Practitioner in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Women's Health Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.