Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jeffrey Karl Bosold, APN

Individual provider Nurse Practitioner · NPI 1396941522

Jeffrey Karl Bosold, APN is a Nurse Practitioner in Russellville, Arkansas. Qualified in 2005, 21 years ago. Practices with Westside Family Clinic LLC, a 5-clinician group and accepts Medicare assignment. Licensed in Arkansas.

Years since qualifying
21
Licensed in
AR
In the registry since
2007
Specialties on file
2
What do these letters mean?
APN — Advanced Practice Nurse
The umbrella title some states use for nurse practitioners and other advanced practice nurses.

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Practice location Address checks out

3812 W Main
Russellville, AR 72801
Phone: (479) 968-1245
Fax: (479) 968-4137
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence A01909 (AR)
Nurse Practitioner Taxonomy 363L00000X · Licence A001909 (AR)

Record details

NPI number1396941522
Entity typeIndividual (Type 1)
GenderMale
Credentials APN
Sole proprietorNo
NPI enumeratedJune 25, 2007
Last updated in NPPESApril 7, 2020
Certification dateApril 7, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Westside Family Clinic Llc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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