Provider Demographics
NPI:1255605036
Name:BOLTON, LISA DELILLE (RN, FNP)
Entity type:Individual
Prefix:MS
First Name:LISA
Middle Name:DELILLE
Last Name:BOLTON
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Gender:F
Credentials:RN, FNP
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Mailing Address - Street 1:1818 ALBION STREET
Mailing Address - Street 2:NASHVILLE GENERAL HOSPITAL AT MEHARRY
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37208
Mailing Address - Country:US
Mailing Address - Phone:615-341-4628
Mailing Address - Fax:615-341-4493
Practice Address - Street 1:1818 ALBION STREET
Practice Address - Street 2:NASHVILLE GENERAL HOSPITAL AT MEHARRY
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37208
Practice Address - Country:US
Practice Address - Phone:615-341-4628
Practice Address - Fax:615-341-4493
Is Sole Proprietor?:No
Enumeration Date:2012-02-27
Last Update Date:2013-10-03
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Provider Licenses
StateLicense IDTaxonomies
TN16143363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily