Nurse Practitioner, Pediatrics
JESSICA BOLTON APN CPNP-PC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1417663485 · enumerated 2023-01-24 · record updated 2023-01-24. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Practice location 5230 6TH STREET FRONTAGE RD E, SPRINGFIELD, IL, 62703-5128 (217) 585-1180 Google Maps Apple Maps OpenStreetMap
- Mailing address 11092 SUNSET BLVD, GREEN VALLEY, IL, 61534-9352 (217) 491-2274 Google Maps Apple Maps OpenStreetMap
Specialties
- Nurse Practitioner, Pediatrics 363LP0200X · Primary · License 209019756 IL
In this directory
IL Sangamon County Springfield Nurse Practitioner, Pediatrics
Locations and evidence
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Practice location
SPRINGFIELD, IL, 627035128
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.