Individual
JAMIE G BONELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
855 N WESTHAVEN DR, OSHKOSH, WI 54904-7668
(920) 303-8700
Mailing address
855 N WESTHAVEN DR, OSHKOSH, WI 54904-7668
(920) 303-8700
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
257-033
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43893900
—
WI
Enumeration date
01/05/2007
Last updated
09/25/2012
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