Bonner Medical and Behavioral Health Specialists, PLLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

BONNER MEDICAL AND BEHAVIORAL HEALTH SPECIALISTS, PLLC

Practice address

1288 Mill Creek CV
Memphis, TN 38134-7820

Phone

(865) 246-2104

Fax

(865) 246-2106

NPI assigned

Sep 13, 2019

Organization subpart

No

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

Authorized official

Name

Charlene Bonner, FNP

Title

Owner

Phone

(865) 246-2104

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1568332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579737600000",
    "number": "1750931655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5777",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378025777",
            "telephone_number": "865-246-2104",
            "fax_number": "865-246-2106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1288 MILL CREEK CV",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381347820",
            "telephone_number": "865-246-2104",
            "fax_number": "865-246-2106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BONNER MEDICAL AND BEHAVIORAL HEALTH SPECIALISTS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-13",
        "last_updated": "2020-01-23",
        "certification_date": "2020-01-23",
        "status": "A",
        "authorized_official_last_name": "BONNER",
        "authorized_official_first_name": "CHARLENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "865-246-2104",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rateesha Q Bonds, APN
• Erica Louise Bone, CRNA
• Stacey Bonham-Palas, DNP, AGACNP
• Bonk Internal Medicine,Inc.
• Amy Bonk-Chanin, P.A.-C.
• Tiffany Nicole Bonner-Burton
• Adrianne Bonner, RDMS
• Amber Bonner, MS, CCC-SLP
• Bryon Emil Bonner
• Charlene Bonner, FNP-C, PMHNP-BC

• Family Nurse Practitioner in Memphis, TN
• Providers in Memphis, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2020; 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.