Mrs. Willie Mary Bolden

Nurse Practitioner - Family | 7+ years Exp

112 W Peeler Ave, Shaw
  Mississippi, 38773-8710
662-745-6638
Accepts Medicare Nurse Anesthetist in Shaw, Mississippi.
Mrs. Willie Mary Bolden is a Shaw, Mississippi based nurse practitioner with 7 years of experience in Family. She completed her graduation in 2018. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Mrs. Willie Mary Bolden is 903205 for Family in Mississippi. Her current practice location is 112 W Peeler Ave, Shaw. Patients can reach her at 662-745-6638 with specialization in Family and her NPI number (Unique professional ID assigned by NPPES) is 1518428283.
Mrs. Willie Mary Bolden delivers family-focused care which means she provides care for patients ranging from infants to the elderly and every age in between. Family Nurse Practitioner (FNP) are frequently the primary care provider for families, which means that they will not only diagnose conditions, but also treat them. FNPs perform physical exams, order diagnostic tests and procedures, diagnose and treat illness, prescribe needed medications, and teach their patients how to develop healthy lifestyles to promote health and prevent disease.
Complete Profile:
Mrs. Willie Mary Bolden speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for appointment.
Name: Mrs. Willie Mary Bolden
Specialization: Family Nurse Practitioner (FNP)
Gender:Female
Experience: 7+ years
Medical School Attended:Other
Graduation Year:2018
Accepts Medicare Assignment:Yes
Practice Address:112 W Peeler Ave, Shaw,
Mississippi, 38773-8710
Phone:662-745-6638
Professional Identification Codes:
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.
PAC ID: 4587994181
Enrollment ID: I20190925000170
NPI Number: 1518428283
NPI Enumeration Date: 26 Mar, 2019
NPI Last Update On: 26 Mar, 2019

Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mrs. Willie Mary Bolden are as mentioned below.
License NumberSpecializationStateStatus
903205Family MississippiPrimary
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name with which Mrs. Willie Mary Bolden is associated with along with the number of members in that group.
Organization Name (Group PAC ID) Members
Fast Pace Mississippi Pllc (3678832029)121
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Mrs. Willie Mary Bolden
112 W Peeler Ave,
Shaw, Mississippi
Zip: 38773-8710
Phone Number: 662-754-3301
Patients can reach Mrs. Willie Mary Bolden at 112 W Peeler Ave, Shaw, Mississippi or can call to book an appointment on 662-745-6638.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 April, 2025.