Bonner, Breanna L
Bonner, Breanna L is an sole proprietor health care provider with primary practice located at 1101 Highway 11 S , Ellisville MS 39437-4443. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Bonner, Breanna L can be contacted via phone (601) 477-5771.Contact Information
Primary practice address
1101 Highway 11 S
Ellisville MS 39437-4443
Phone: (601) 477-5771
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | R867420 | Mississippi |
Profile Details
| NPI number | 1700125895 |
|---|---|
| LBN Legal business name | Bonner, Breanna L |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 8th, 2013 |
| Last updated | Dec 27th, 2016 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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