Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LACIE JAE BOLES
ActiveLACIE JAE BOLES is a Community Health Worker healthcare provider located in SHAWNEE, Oklahoma. NPI 1831990381 is currently active in the NPPES registry. Verify at CMS.
Community Health Worker · SHAWNEE, OK
Registration Details
- NPI Number
- 1831990381
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 21, 2025 (1.4189034156528 yrs)
- Last Updated
- Mar 21, 2025
Practice Information
- Address
-
2307 GORDON COOPER DRSHAWNEE, OK, 748019007Browse OK providers · Browse ZIP 74801
- Phone
- 4052145111
- Primary Specialty
-
Community Health Worker
172V00000X
Other Community Health Worker Providers in SHAWNEE, OK
| Name | Credential | NPI |
|---|---|---|
| TRINA DECKER | — | 1104217314 |
| BETH CABE | — | 1780285734 |
| BRANDI FOWLER | — | 1689332652 |
| CHEYENNE ROSE MEADOWS | — | 1124800685 |
| RHONDA DARLENE BOUNDS | — | 1568263929 |
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.