Individual
JENNIFER BONNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3215 N NORTHHILLS BLVD, FAYETTEVILLE, AR 72703-4424
(479) 409-3045
Mailing address
210 W PARK ST, LINCOLN, AR 72744-8718
(479) 409-3045
Taxonomy
Speciality
Code
Description
License number
State
163WN0800X
Neuroscience Registered Nurse
Primary
R070615
AR
Other
Enumeration date
05/09/2016
Last updated
05/09/2016
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