Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MARY BOLELA
NPI 1871355578
Registered Nurse - Home Health in Jackson, MS

Active since January 29, 2024
242 HOLLY HILL DR, JACKSON, MS 39212(601) 573-9458 Get Directions Write a Review

NPPES record last updated: July 2, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mary Bolela NPPES

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

MARY BOLELA (NPI 1871355578) is an individual home health provider in Jackson, Mississippi, licensed in Mississippi (872417) and active in the NPI registry since January 2024.

NPPES Registry Identity

NPI1871355578
Entity TypeIndividualFemale
Primary Taxonomy163WH0200X
Provider Legal NameMARY BOLELA
Location Address242 HOLLY HILL DRJackson, MS 39212-5867
Mailing Address242 Holly Hill DrJackson, MS 39212-5867 · (601) 573-9458
Sole ProprietorYes
Enumeration DateJanuary 29, 2024
Last NPPES UpdateJuly 2, 2026
NPPES CertifiedJuly 2, 2026
NPI 1871355578 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyRegistered Nurse · Home HealthNursing Service Providers
Taxonomy Code163WH0200X
License Licensed in MS · 872417
Also ListedRegistered NurseTaxonomy 163W00000X · License 875417 (MS)
242 HOLLY HILL DR, Jackson, MS 39212

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 Bolela's NPI number?

The NPI number for Mary Bolela is 1871355578. It was assigned to this individual provider in the NPPES registry on January 29, 2024.

Where is Mary Bolela located?

Mary Bolela practices at 242 Holly Hill Dr, Jackson, MS 39212. The listed phone number is (601) 573-9458.

What is Mary Bolela's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Home Health, with taxonomy code 163WH0200X.

When was this NPI record last updated?

The NPPES record for Mary Bolela was last updated on July 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 52 days 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.