Organization
BONNER MEDICAL AND BEHAVIORAL HEALTH SPECIALISTS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLENE BONNER FNP (OWNER)
(865) 246-2104
Entity
Organization
Contact information
Practice address
1288 MILL CREEK CV, MEMPHIS, TN 38134-7820
(865) 246-2104
(865) 246-2106
Mailing address
PO BOX 5777, MARYVILLE, TN 37802-5777
(865) 246-2104
(865) 246-2106
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/13/2019
Last updated
01/23/2020
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