NPI 1770735987 · live from the CMS NPI Registry
Jessica Lynette Bonner, RN,BSN,CNOR,RNFA
Registered Nurse, Registered Nurse First Assistant in Mesa, AZ. National Provider Identifier 1770735987, active.
NPI record
| NPI | 1770735987 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Registered Nurse, Registered Nurse First Assistant 163WR0006X |
| Practice location | 1400 S Dobson Rd, Mesa, AZ 85202 |
| Practice phone | 480-512-3500 |
| Mailing address | 1900 W Chandler Blvd Ste 15-143, Chandler, AZ 85224 |
| Enumerated | October 21, 2008 |
| Last updated | October 21, 2008 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse, Registered Nurse First Assistant primary | 163WR0006X | RN095926 (AZ) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.