Clark, Bonnie Lou

Clark, Bonnie Lou is an sole proprietor health care provider with primary practice located at 1319 Duncan Ave , Jeffersonville IN 47130-3759. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Clark, Bonnie Lou can be contacted via phone (812) 283-2308.

Contact Information

Primary practice address
1319 Duncan Ave Jeffersonville IN 47130-3759
Phone: (812) 283-2308
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71003710A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 71003710A Indiana

Profile Details

NPI number 1831472133
LBN Legal business name Clark, Bonnie Lou
Credentials NP-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 22nd, 2011
Last updated May 11th, 2017 - about 7 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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