Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jennifer Chism Bolen, FNP-C

Individual provider Family Nurse Practitioner · NPI 1639720550

Jennifer Chism Bolen, FNP-C is a Nurse Practitioner in Ecru, Mississippi. Qualified in 2019, 7 years ago. Practices with Redmed LLC, a 56-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
7
Licensed in
MS
In the registry since
2019
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

5482 MS-15
Ecru, MS 38841
Phone: (662) 488-8799
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence F08191029 (MS)

Record details

NPI number1639720550
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorYes
NPI enumeratedSeptember 23, 2019
Last updated in NPPESSeptember 23, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Redmed Llc — 56 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Colleagues at Redmed LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 56 clinicians in the practice; 12 are shown here.

Other providers in Ecru