MS. NICOLE KRISTIN BOLES LPN
NPI 1790205896
Licensed Practical Nurse in Joppa, IL

Active since June 21, 2017

NPPES record last updated: June 21, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ms. Nicole Kristin Boles Lpn NPPES

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

MS. NICOLE KRISTIN BOLES LPN (NPI 1790205896) is an individual licensed practical nurse in Joppa, Illinois, licensed in Illinois (043.120833) and active in the NPI registry since June 2017.

NPPES Registry Identity

NPI1790205896
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMS. NICOLE KRISTIN BOLESCredential: LPN
Location Address922 BLY ST.Joppa, IL 62953
Mailing Address341 State Route 1628Bardwell, KY 42023-8530
Sole ProprietorYes
Enumeration DateJune 21, 2017
NPI 1790205896 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 IL · 043.120833
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.

922 BLY ST., Joppa, IL 62953

Other Names 1

Professional Name (2)Miss Nicole Kristin Lawrence Boles

Other Identifiers 1

Other043.120833IL · Licensed Practical Nurse

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 Nicole Boles's NPI number?

The NPI number for Nicole Boles is 1790205896. It was assigned to this individual provider in the NPPES registry on June 21, 2017. The provider is also known as Miss Nicole Kristin Lawrence Boles.

Where is Nicole Boles located?

Nicole Boles practices at 922 Bly St., Joppa, IL 62953. The listed phone number is (618) 309-2455.

What is Nicole Boles'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 Nicole Boles was last updated on June 21, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.