MELISSA L BOLTON

JACKSON, TN
NPI1306026950
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: TN  13076)
Additional Taxonomies363LA2100X Nurse Practitioner, Acute Care
(Licence: TN  13076)
Enumeration Date2007-11-13
Last Update Date2018-05-25
Business Address
MELISSA L BOLTON APN
3441 RIDGECREST ROAD EXT # EXD
JACKSON, TN 38305
Phone number: 731-988-9119
Mailing Address
MELISSA L BOLTON APN
1804 HIGHWAY 45 BYP STE 604
JACKSON, TN 38305-4403
Phone number: 731-660-7971