Individual
MRS. BONNIE JEAN LONGNECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
6100 ROCKSIDE WOODS BLVD N STE 425, INDEPENDENCE, OH 44131-2340
(866) 968-6327
(216) 524-0111
Mailing address
6100 ROCKSIDE WOODS BLVD N STE 425, INDEPENDENCE, OH 44131-2340
(866) 968-6327
(216) 524-0111
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
22752
SC
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.0029702
OH
Other
Enumeration date
02/12/2021
Last updated
03/03/2022
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