MELANIE SHEVONNE BOLEN DNP APRN-CNP FNP-C NPI 1376153544

NPI Information

  • NPI: 1376153544
  • Provider Name: MELANIE SHEVONNE BOLEN, DNP, APRN-CNP, FNP-C
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1600 W HOLLAND AVE
    WHITE HALL, AR
    ZIP 71602
  • Phone: (870) 619-4451

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NPI Details

Melanie Shevonne Bolen, DNP, APRN-CNP, FNP-C is a family nurse practitioner in White Hall, AR with 5 years of experience. Melanie Shevonne Bolen, DNP, APRN-CNP, FNP-C NPI is 1376153544. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1600 W HOLLAND AVE
WHITE HALL, AR
ZIP 71602-241
Phone: (870) 619-4451

The NPI 1376153544 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/3/2020 and was last updated on 6/7/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily125425ARKANSASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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