MARY DARLENE BOLTON FNP-BC
NPI 1346227741
Nurse Practitioner - Family in Hattiesburg, MS

Active since December 27, 2005
605 STADIUM DR, HATTIESBURG, MS 39401(601) 450-0310(601) 450-0321 Get Directions Write a Review

NPPES record last updated: May 1, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mary Darlene Bolton Fnp-bc NPPES

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

MARY DARLENE BOLTON FNP-BC (NPI 1346227741) is an individual family provider in Hattiesburg, Mississippi, licensed in Mississippi (R79429) and active in the NPI registry since December 2005.

NPPES Registry Identity

NPI1346227741
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMARY DARLENE BOLTONCredential: FNP-BC
Location Address605 STADIUM DRHattiesburg, MS 39401-4156
Mailing AddressPo Box 1729Hattiesburg, MS 39403-1729 · (601) 545-3700 · Fax (601) 450-2493
Fax(601) 450-0321
Sole ProprietorNo
Enumeration DateDecember 27, 2005
Last NPPES UpdateMay 1, 2014
NPI 1346227741 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in MS · R79429
605 STADIUM DR, Hattiesburg, MS 39401

Other Identifiers 5

Medicare ID-Type Unspecified500001256MS · Ms Medicare Number
Medicaid00114669MS
Other3565141MS · Cigna
Other4593131MS · Aetna
Medicare UPINR34683MS

Other Providers at the Same Location NPPES 7

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

Nurse Practitioner (Family)
605 STADIUM DR
HATTIESBURG, MS 39401
Social Worker (Clinical)
605 STADIUM DR
HATTIESBURG, MS 39401
Social Worker
605 STADIUM DR
HATTIESBURG, MS 39401
Nurse Practitioner (Family)
605 STADIUM DR
HATTIESBURG, MS 39401
Clinic/Center (Federally Qualified Health Center (FQHC))
605 STADIUM DR
HATTIESBURG, MS 39401
Nurse Practitioner (Family)
605 STADIUM DR
HATTIESBURG, MS 39401
Nurse Practitioner (Family)
605 STADIUM DR
HATTIESBURG, MS 39401

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 Mary Bolton's NPI number?

The NPI number for Mary Bolton is 1346227741. It was assigned to this individual provider in the NPPES registry on December 27, 2005.

Where is Mary Bolton located?

Mary Bolton practices at 605 Stadium Dr, Hattiesburg, MS 39401. The listed phone number is (601) 450-0310.

What is Mary Bolton's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Mary Bolton was last updated on May 1, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.