Bolen, Jene

Bolen, Jene is an individual health care provider with primary practice located at 818 N Carriage Pkwy , Wichita KS 67208-4500. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Bolen, Jene can be contacted via phone (316) 651-2216.

Contact Information

Primary practice address
818 N Carriage Pkwy Wichita KS 67208-4500
Phone: (316) 651-2216
Fax: (316) 651-2256
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 1392045082 Kansas
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 5375693082 Kansas

Profile Details

NPI number 1407191703
LBN Legal business name Bolen, Jene
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2012
Last updated Jul 21st, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407191703 NPPES
Kansas MEDICAID 201100240D

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