Jessica Lynette Bonner, RN,BSN,CNOR,RNFA

Primary specialty

Registered Nurse First AssistantTaxonomy code 163WR0006X

License

RN095926 Issued in AZ

Practice address

1400 S Dobson Rd
Mesa, AZ 85202-4707

Phone

(480) 512-3500

NPI assigned

Oct 21, 2008

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

Bachelor on Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224547200000",
    "number": "1770735987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 W CHANDLER BLVD STE 15-143",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852248632",
            "telephone_number": "480-861-0432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 S DOBSON RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852024707",
            "telephone_number": "480-512-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONNER",
        "first_name": "JESSICA",
        "middle_name": "LYNETTE",
        "name_prefix": "Ms.",
        "credential": "RN,BSN,CNOR,RNFA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-21",
        "last_updated": "2008-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "AZ",
            "license": "RN095926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Taylor Bond, RPH
• Todd Bonesteel
• Kathryn Allison Bongianni, OTR/L
• Gianna Maree Bongiorno
• Scott W Bonhus, R.PH.
• Janice Bonnett, NP
• Patricia D Boone-Edgerton Longoni
• Avery Dean Booth, PMHNP-BC
• Janette Smith Booth, M.S. CCC-SLP
• Kelsey Booth

• Registered Nurse First Assistant in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Registered Nurse First Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.