Doctor Name: | JODI L. BOLING |
NPI Number: | 1023258175 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CNS |
License Number: | 28126677A |
Business Practice Address: | 9143 Indianapolis Blvd Highland, IN - 463222504 |
Business Phone Number: | 2199721547 |
Business Fax Number: | 2199721641 |
Mailing Address: | 9201 Calumet Ave, MUNSTER |
State: | IN |
Postal Code: | 463212807 |
Phone Number: | 2198369024 |
Fax Number: | 2198360034 |
NPI Enumeration Date: | 03/03/2009 |
NPI Last Update Date: | 09/13/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 364S00000X |
License Number: | 28126677A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Clinical Nurse Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration. |