Individual
JEANNE BONHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3900 PINE LAKE RD, LINCOLN, NE 68516-5489
(402) 213-7855
Mailing address
943 HWY 10, FRANKLIN, NE 68939-5170
(402) 213-7855
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
111668
NE
Other
Enumeration date
12/29/2017
Last updated
12/29/2017
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