Janet Leigh Bonney, LPN
Individual provider Active NPI Licensed Practical Nurse · Cedar Bluff, IN
NPI 1467643114 · NPPES record last updated Aug 7, 2007
Key facts
- NPI
- 1467643114
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 0002061288 (VA)
- Practice address
- 111 Town Hollow Rd
Clinch Valley Treatment Center
Cedar Bluff, IN 24609 - Phone
- (276) 963-3554
- Fax
- (276) 963-3544
- NPI assigned
- Aug 7, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0002061288 | VA | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 0002061288 | VA | Yes |
Addresses
Primary practice location
111 Town Hollow Rd
Clinch Valley Treatment Center
Cedar Bluff, IN 24609
Mailing address
PO Box 1998
Cedar Bluff, IA 24609
Phone (276) 963-7555
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 7, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.