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

Mary Bolela

Individual provider Registered Nurse · NPI 1871355578

Mary Bolela is a Registered Nurse in Jackson, Mississippi. Practices as a sole proprietor. Licensed in Mississippi.

Licensed in
MS
In the registry since
2024
Specialties on file
3

Practice location Address checks out

242 Holly Hill Dr
Jackson, MS 39212-5867
Phone: (601) 573-9458
Show map & directions

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

Specialties & licences

Home Health Registered Nurse (primary) Taxonomy 163WH0200X · Licence 872417 (MS)
Registered Nurse Taxonomy 163W00000X · Licence 875417 (MS)
Assisted Living Facility (Mental Illness) Taxonomy 3104A0625X

Record details

NPI number1871355578
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 29, 2024
Last updated in NPPESJuly 2, 2026
Certification dateJuly 2, 2026
Mailing address242 Holly Hill Dr, Jackson, MS 39212-5867

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