Active NPI
Jamie Lynn Bole, CNP
- Adult Health Nurse Practitioner
- Canton, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- APRN-CNP0027428
- Practice address
- 4650 Hills and Dales Rd NW Ste 200
Canton, OH 44708-6221 - Phone
- (330) 491-9675
- NPI assigned
- Jul 13, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | APRN-CNP0027428 | OH | Primary |
Addresses
Primary practice location
4650 Hills and Dales Rd NW Ste 200
Canton, OH 44708-6221
Mailing address
4650 Hills and Dales Rd NW Ste 200
Canton, OH 44708-6221
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN-CNP0027428 | OH | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ohio Physician Professional Corporation | Current | Accepting new patients | |
| Vpa PC | Current | Accepting new patients | |
| Aultman North Canton Medical Group | Current | Accepting new patients | |
| Vpa PC | Current | Accepting new patients | |
| Vpa PC | Current | Accepting new patients | |
| Vpa PC | Current | Accepting new patients |
Locations
500 Kirts Blvd
Ste 100
Troy, MI 48084
Phone (214) 824-6000
2600 6th St SW
Canton, OH 44710
Phone (330) 363-2180
3515 Massillon Rd
Ste 250
Green, OH 44685
Phone (330) 734-6015
6046 Whipple Ave NW
#B
North Canton, OH 44720
Phone (330) 491-1670
6046 Whipple Ave NW
North Canton, OH 44720
Phone (330) 433-1200
6100 Whipple Ave NW
North Canton, OH 44720
Phone (330) 244-8778
7206 Market St
Ste A
Youngstown, OH 44512
Phone (330) 726-3379
Interoperability endpoints
- jamie.bole.p1@direct.gastroandhepatology.nextgenshare.com
- jamie.bole@direct.aultman.org
Organizations & group practices 6
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.
-
- Family Medicine Physician
- Middleburg Heights, OH
- NPI 1932386059
-
- Multi-Specialty Clinic/Center
- North Canton, OH
- NPI 1245257088
-
- Hospitalist Physician
- Canton, OH
- NPI 1417016973
-
- Family Medicine Physician
- Boardman, OH
- NPI 1053356162
-
- Clinical Social Worker
- Maumee, OH
- NPI 1952929630
-
- Family Medicine Physician
- Brentwood, TN
- NPI 1578363362
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1766448000000",
"number": "1679191902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4650 HILLS AND DALES RD NW STE 200",
"city": "CANTON",
"state": "OH",
"postal_code": "447086221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4650 HILLS AND DALES RD NW STE 200",
"city": "CANTON",
"state": "OH",
"postal_code": "447086221",
"telephone_number": "330-491-9675"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOLE",
"first_name": "JAMIE",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-13",
"last_updated": "2025-12-23",
"certification_date": "2025-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "OH",
"license": "APRN-CNP0027428",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Canton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.