LISA BOLNER
NPI 1063222990
Licensed Practical Nurse in Jackson, OH

Active since January 13, 2025
502 MCCARTY LN, JACKSON, OH 45640(740) 377-5864 Get Directions Write a Review

NPPES record last updated: January 13, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lisa Bolner NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LISA BOLNER (NPI 1063222990) is an individual licensed practical nurse in Jackson, Ohio, licensed in Ohio (LPN.116655.MEDS-IV) and active in the NPI registry since January 2025.

NPPES Registry Identity

NPI1063222990
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameLISA BOLNER
Location Address502 MCCARTY LNJackson, OH 45640-7020
Mailing Address502 Mccarty LnJackson, OH 45640-7020
Sole ProprietorYes
Enumeration DateJanuary 13, 2025
NPPES CertifiedJanuary 13, 2025
NPI 1063222990 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License Licensed in OH · LPN.116655.MEDS-IV
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
502 MCCARTY LN, Jackson, OH 45640

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Case Manager/Care Coordinator
502 MCCARTY LN
JACKSON, OH 45640
Counselor (Professional)
502 MCCARTY LN
JACKSON, OH 45640
Case Manager/Care Coordinator
502 MCCARTY LN
JACKSON, OH 45640
Clinic/Center (Mental Health (Including Community Mental Health Center))
502 MCCARTY LN
JACKSON, OH 45640
Clinic/Center (Federally Qualified Health Center (FQHC))
502 MCCARTY LN
JACKSON, OH 45640
Licensed Practical Nurse
502 MCCARTY LN, UNIT 5
JACKSON, OH 45640
Counselor (Professional)
502 MCCARTY LN
JACKSON, OH 45640
Counselor (Addiction (Substance Use Disorder))
502 MCCARTY LN
JACKSON, OH 45640

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisa Bolner's NPI number?

The NPI number for Lisa Bolner is 1063222990. It was assigned to this individual provider in the NPPES registry on January 13, 2025.

Where is Lisa Bolner located?

Lisa Bolner practices at 502 Mccarty Ln, Jackson, OH 45640. The listed phone number is (740) 377-5864.

What is Lisa Bolner's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Lisa Bolner was last updated on January 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.