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

Mrs. Stacylynne Bolks, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1356684377

Mrs. Stacylynne Bolks, FNP-BC is a Nurse Practitioner in Wynnewood, Pennsylvania. Qualified in 2010, 16 years ago. Practices with Main Line Healthcare, a 1,153-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
16
Licensed in
PA
In the registry since
2013
Specialties on file
2
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

100 E Lancaster Ave Ste 280 Medical Science Bldg
Wynnewood, PA 19096-3450
Phone: (610) 642-3005
Fax: (610) 642-3057
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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 SP012846 (PA)
Nurse Practitioner Taxonomy 363L00000X · Licence SP012846 (PA)

Record details

NPI number1356684377
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedMarch 27, 2013
Last updated in NPPESMarch 13, 2026
Certification dateMarch 13, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Main Line Healthcare — 1153 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations10 on file with Medicare

Other providers in Wynnewood