Individual
MRS. KAITLYN NICOLE BONNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
6905 HIGHWAY 145 S, MERIDIAN, MS 39301-9771
(601) 282-3271
Mailing address
2725 COUNTY ROAD 440, QUITMAN, MS 39355-5014
(601) 513-2834
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
903752
MS
Other
Enumeration date
01/27/2020
Last updated
01/27/2020
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