Jessica Nicole Bonar, MSN, APRN, AGACNP-BC
Nurse Practitioner, Acute Care in Tullahoma, TN. Individual provider (NPI-1).
NPI number1801596168
StatusActive
Last updated in NPPESMay 10, 2023
Details
- NPI
- 1801596168
- Entity type
- Individual (NPI-1)
- Name
- Jessica Nicole Bonar
- Credential
- MSN, APRN, AGACNP-BC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 6, 2023
- Certification date
- May 10, 2023
- Last updated
- May 10, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LA2100X | Nurse Practitioner, Acute Care | 33723 | TN | Yes |
| 163W00000X | Registered Nurse | 241544 | TN |
Practice location
1801 N Jackson StTullahoma, TN 37388-8259
Phone 931-409-8384
Mailing address
1852 Old Nashville Dirt RdShelbyville, TN 37160-5671
Phone 931-409-8384
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Acute Care Nurse Practitioner providers in Tullahoma, TN
- Jacqueline D. Blanton, ACNPNPI 1235300054
- Savannah Brooke ChristopherNPI 1407492572
- Robbie M. Harmon, NPNPI 1295031235
- Connie S Leanza, CRNPNPI 1205921152
- Jennifer Leigh Slater, NPNPI 1447883343
All 6 Acute Care Nurse Practitioner providers in Tullahoma · All 812 providers in Tullahoma
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