MRS. MARY JUNE BOLTON APRN, FNP
NPI 1376067470
Nurse Practitioner - Family in Jackson, TN

Active since July 31, 2017
620 SKYLINE DR, JACKSON, TN 38301(731) 541-5000 Get Directions Write a Review

NPPES record last updated: July 31, 2017. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Mrs. Mary June Bolton Aprn, Fnp NPPES

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

MRS. MARY JUNE BOLTON APRN, FNP (NPI 1376067470) is an individual family provider in Jackson, Tennessee, licensed in Tennessee (22538) and active in the NPI registry since July 2017.

NPPES Registry Identity

NPI1376067470
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. MARY JUNE BOLTONCredential: APRN, FNP
Location Address620 SKYLINE DRJackson, TN 38301-3923
Mailing Address200 Betty StBradford, TN 38316-8740 · (731) 420-3532
Sole ProprietorYes
Enumeration DateJuly 31, 2017
✔ NPI 1376067470 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 TN · 22538
620 SKYLINE DR, Jackson, TN 38301

Other Providers at the Same Location NPPES 20

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

Pathology (Anatomic Pathology & Clinical Pathology)
620 SKYLINE DR
JACKSON, TN 38301
Anesthesiology (Critical Care Medicine)
620 SKYLINE DR
JACKSON, TN 38301
Occupational Therapist
620 SKYLINE DR
JACKSON, TN 38301
Physician Assistant
620 SKYLINE DR
JACKSON, TN 38301
Pharmacist
620 SKYLINE DR
JACKSON, TN 38301
Emergency Medicine
620 SKYLINE DR
JACKSON, TN 38301
Nurse Practitioner (Family)
620 SKYLINE DR
JACKSON, TN 38301
Nurse Anesthetist, Certified Registered
620 SKYLINE DR
JACKSON, TN 38301

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 1376067470. It was assigned to this individual provider in the NPPES registry on July 31, 2017.

Where is Mary Bolton located?

Mary Bolton practices at 620 Skyline Dr, Jackson, TN 38301. The listed phone number is (731) 541-5000.

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 July 31, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.