NPI 1235743162
Shymeka Bolden
Practice location
- Address
- 405 Dewitt Ave, Jackson, MS 39203
- Phone
- (769) 232-0646
Registered specialties
Home Health Agency
Primary
Registry record
- NPI
- 1235743162
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 8 Sep 2020
- Record last updated
- 8 Sep 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.