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

Jessica Blair Bolen

Individual provider Clinical Genetics (M.D.) Physician · NPI 1003437146

Jessica Blair Bolen is a Pediatric Medicine in Oklahoma City, Oklahoma. Graduated from University of Oklahoma College of Medicine in 2021, 5 years ago. Licensed in Texas.

Years since qualifying
5
Trained at
University of Oklahoma College of Medicine
Licensed in
TX
In the registry since
2020

Practice location Address checks out

1803 N Blackwelder Ave
Oklahoma City, OK 73106-4222
Phone: (713) 449-3517
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Genetics (M.D.) Physician (primary) Taxonomy 207SG0201X · Licence W5744 (TX)

Record details

NPI number1003437146
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 29, 2020
Last updated in NPPESJuly 13, 2026
Certification dateJuly 13, 2026

Medicare enrollment

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

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolUNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated

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