Mary Lynn Bonnette, PHD, MSN, RN

Primary specialty

Adult Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0809X

License

RN 1088062 Issued in FL

Practice address

2780 Cleveland Ave
810
Fort Myers, FL 33901-5858

Phone

(239) 337-4332

Fax

(239) 334-3327

NPI assigned

Jan 10, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science - Nursing, Doctor of Philosophy, Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215734400000",
    "number": "1679622146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 VIRGINIA AVE",
            "address_2": "401",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339013352",
            "telephone_number": "239-334-2677",
            "fax_number": "239-334-3327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2780 CLEVELAND AVE",
            "address_2": "810",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339015858",
            "telephone_number": "239-337-4332",
            "fax_number": "239-334-3327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONNETTE",
        "first_name": "MARY",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "PHD, MSN, RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-10",
        "last_updated": "2008-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "FL",
            "license": "RN 1088062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alvaro Boniche, M.D.
• Yessi D Bonilla Padron
• Bonner Meadows Home Health
• Bonners Meadow Home Health Agency LLC
• Harris L Bonnette, M.D.
• Jessyka Bono, PA-C
• Marie-Veronique Jeanne Yvette Bonvie
• Lindy M Book, MD
• James Booras, RPH
• Joseph Bores, PTA

• Adult Psychiatric/Mental Health Clinical Nurse Specialist in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Adult Psychiatric/Mental Health Clinical Nurse Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.