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Individual

JESSICA NICOLE BONAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, APRN, AGACNP-BC

Contact information

Practice address
1801 N JACKSON ST, TULLAHOMA, TN 37388-8259
(931) 409-8384
Mailing address
1852 OLD NASHVILLE DIRT RD, SHELBYVILLE, TN 37160-5671
(931) 409-8384

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
241544
TN
363LA2100X
Acute Care Nurse Practitioner
Primary
33723
TN

Other

Enumeration date
03/06/2023
Last updated
05/10/2023
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