MEDICARE: MS. LISA DELILLE BOLTON RN, FNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	16143	TN

General Provider Information

NPI Number	:	1255605036
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. LISA DELILLE BOLTON RN, FNP

Provider Business Mailing Address
First Line	:	1818 ALBION STREET
Second Line	:	NASHVILLE GENERAL HOSPITAL AT MEHARRY
City	:	NASHVILLE
State	:	TN
Zip	:	37208-2918
Country	:	US
Telephone Number	:	615-341-4447
Fax Number	:	615-341-4434

Provider Business Practice Location Address
First Line	:	1818 ALBION STREET
Second Line	:	NASHVILLE GENERAL HOSPITAL AT MEHARRY
City	:	NASHVILLE
State	:	TN
Zip	:	37208
Country	:	US
Telephone Number	:	615-341-4447
Fax Number	:	615-341-4434

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/27/2012
Last Update Date	:	02/09/2026

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