Jo Ann N Bolli
General Practice Physician Gynecologist
308 S Washington St
Clinton
, Kentucky 42031-1340
Jo Ann N Bolli
General Practice Physician Gynecologist
308 S Washington St
Clinton
, Kentucky 42031-1340
(423) 626-1523
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About
Features
Specialties
- Gynecologist
- General Practice Physician
Languages spoken
- English
Location
First Address
- Jo Ann N Bolli
- 627 Asheville Hwy
- Greeneville, TN
- Zip : 37743-5401
- Fax : (423) 626-1523
- Phone : (423) 626-1521
Second Address
- Jo Ann N Bolli
- 308 S Washington St
- Clinton, KY
- Zip : 42031-1340
- Fax : (270) 254-3023
- Phone : (270) 254-3021
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207VG0400X | Gynecologist | 43737 | TN |
| N | 208D00000X | General Practice Physician | 43737 | TN |
National Provider Identifier
| NPI | 1134198526 |
|---|---|
| Provider Name | Jo Ann N Bolli |
| First Address | Greeneville, TN 37743-5401 |
| Second Address | Clinton, KY 42031-1340 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/03/2006 |
| Last Update Date | 27/12/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000000502868 | BCBS (01) | KY |
| 4046827 | (05) | TN |
| 4143318 | BCBS (01) | TN |
| G11393 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.