Angela L. Boleware is a Jackson, Mississippi based nurse practitioner. Active license number of Angela L. Boleware is R543195 in Mississippi. Her current practice location is 2500 North State Street, Department Of Medicine/division Of General Internal Med, Jackson. Patients can reach her at 601-984-5660. Angela L. Boleware is FNP and her NPI number (Unique professional ID assigned by NPPES) is 1538189048. Angela L. Boleware has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Angela L. Boleware speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Angela L. Boleware
Specialization:
Nurse Practitioner (NP)
Gender:
Female
Credentials:
FNP
Practice Address:
2500 North State Street, Department Of Medicine/division Of General Internal Med, Jackson, Mississippi, 39216-4500
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1538189048
NPI Enumeration Date:
20 Jul, 2006
NPI Last Update On:
08 Apr, 2014
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Angela L. Boleware are as mentioned below.
License Number
Specialization
State
Status
R543195
Mississippi
Primary
R543195
Internal Medicine
Mississippi
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Angela L. Boleware such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
09538704
Medicaid
Mississippi
RR P00321105
Other
Mississippi
RAILROAD
P01236766
Other
Mississippi
RAILROAD MEDICARE PTAN
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Angela L. Boleware 2500 North State Street, Dept Of Internal Medicine Jackson, Mississippi
Zip:
39216-4500
Phone Number:
601-984-5660
Fax Number:
601-984-6870
Patients can reach Angela L. Boleware at 2500 North State Street, Department Of Medicine/division Of General Internal Med, Jackson, Mississippi or can call to book an appointment on 601-984-5660.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 March, 2025.