Ms Nicole Kristin Boles, LPN is a
Licensed Practical Nurse based in Joppa, Illinois. Ms Nicole Kristin Boles is licensed to practice in Illinois (license number 043.120833) and her current practice location is
922 Bly St., Joppa, Illinois. She can be reached at her office (for appointments etc.) via phone at
(618) 309-2455.
NPI number for Ms Nicole Kristin Boles is 1790205896 and her current mailing address is 341 State Route 1628, Bardwell, Kentucky. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1790205896.
Provider's Profile
Full Name | Ms Nicole Kristin Boles |
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Gender | Female |
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Speciality | Licensed Practical Nurse |
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Location | 922 Bly St., Joppa, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1790205896
- Provider Enumeration Date: 06/21/2017
- Last Update Date: 06/21/2017
Medical Identifiers
Medical identifiers for Ms Nicole Kristin Boles such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1790205896 | NPI | - | NPPES |
043.120833 | Other | IL | LICENSED PRACTICAL NURSE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | 043.120833 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Nicole Kristin Boles is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ms Nicole Kristin Boles, LPN 341 State Route 1628, Bardwell, KY 42023-8530 Ph: () - | Ms Nicole Kristin Boles, LPN 922 Bly St., Joppa, IL 62953 Ph: (618) 309-2455 |
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