SearchMississippiFamily Nurse Practitioner

Stephen Bolivar, NP

NPI 1598199291 · on the registry since 2013 · sole proprietor

Practice

Address
401 Southcrest Cir Ste 202
Southaven, MS 38671
Phone
(662) 536-2281
Fax
(901) 763-3694
Organisation at this address
Urology Group Pc
Midsouth Hospitalists, Pc
Central Fabrication, Inc.
Adult Neurology Clinic Pllc
General Surgery Of Southaven Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
32

Additional practice sites

  • 2100 Exeter Rd, Germantown, TN
  • 5659 S Rex Rd, Memphis, TN
  • 8138 Country Village Dr, Cordova, TN

Registry record

Primary taxonomy
Family Nurse Practitioner
363LF0000X
Licence states on file
MS
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-11-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi