Individual
MS. JENNIFER CANDACE BONNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
9548B MAIN ST, FAIRFAX, VA 22031-4031
(571) 746-9614
Mailing address
1925 ROLAND CLARKE PL APT 109, RESTON, VA 20191-1453
(843) 566-2570
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
2201002074
VA
231H00000X
Audiologist
3922
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3922
SC STATE LICENSE
SC
Enumeration date
03/03/2010
Last updated
01/20/2026
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