Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STEPHEN BOLIVAR, NP
Active Sole ProprietorFamily Nurse Practitioner · SOUTHAVEN, MS
Registration Details
- NPI Number
- 1598199291
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 29, 2013 (12.64519871765 yrs)
- Last Updated
- Nov 17, 2025
- License
-
888641 (MS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
401 SOUTHCREST CIR STE 202SOUTHAVEN, MS, 386716719Browse MS providers · Browse ZIP 38671
- Phone
- 6625362281
- Fax
- 9017633694
- Primary Specialty
-
Family Nurse Practitioner
363LF0000X
Other Family Nurse Practitioner Providers in SOUTHAVEN, MS
| Name | Credential | NPI |
|---|---|---|
| JOSEPH ANTHONY VISCONTI | FNP | 1699773820 |
| MARY BRETT MILLER | NP | 1093774267 |
| MS. STEPHANIE J DURDEN | ARNP | 1154370740 |
| PAULA R MILLER | APRN | 1972532224 |
| REBECCA HOLLY T ROBERTSON | FNP | 1033221106 |
| REGINA G SEATON | FNP | 1487757365 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.