Mrs. Willie Mary Bolden
Mrs. Willie Mary Bolden is a Nurse Practitioner in Shaw, Mississippi. Qualified in 2018, 8 years ago. Practices with Delta Health Center, Inc, a 16-clinician group and accepts Medicare assignment. Licensed in Mississippi.
- Years since qualifying
- 8
- Licensed in
- MS
- In the registry since
- 2019
Practice location Address checks out
112 W Peeler AveShaw, MS 38773-8710
Phone: (662) 745-6638
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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 903205 (MS) |
|---|
Record details
| NPI number | 1518428283 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | March 26, 2019 |
| Last updated in NPPES | March 26, 2019 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2018 (8 years in practice) |
| Group practice | Delta Health Center, Inc. — 16 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Shaw
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Naala Latrice Davis, FNP
415 Highway 61, Shaw, MS 38773-9425 · (662) 754-2226
-
Mrs. Regina Jonelle Evans, FNP
112 W Peeler Ave, Shaw, MS 38773-8710 · (662) 754-3301
-
Nora Cecelia Gough-Davis, FNP
112 W Peeler Ave, Shaw, MS 38773-8710 · (662) 754-3301
-
Clifton Dewayne Reed
112 W Peeler Ave, Shaw, MS 38773-8710 · (662) 754-3304