Mrs Sandra J Bonom, CFNP is a
Clinical Nurse Specialist - Family Health based in Brandon, Mississippi. Mrs Sandra J Bonom is licensed to practice in Mississippi (license number R100760) and her current practice location is
126 Pine Ridge Cir, Brandon, Mississippi. She can be reached at her office (for appointments etc.) via phone at
(601) 829-3734.
NPI number for Mrs Sandra J Bonom is 1285815548 and her current mailing address is 126 Pine Ridge Cir, Brandon, Mississippi. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1285815548.
Provider's Profile
Full Name | Mrs Sandra J Bonom |
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Gender | Female |
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Speciality | Clinical Nurse Specialist - Family Health |
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Location | 126 Pine Ridge Cir, Brandon, Mississippi |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1285815548
- Provider Enumeration Date: 11/15/2007
- Last Update Date: 11/15/2007
Medical Identifiers
Medical identifiers for Mrs Sandra J Bonom such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1285815548 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
364SF0001X | Clinical Nurse Specialist - Family Health | R100760 (Mississippi) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Sandra J Bonom is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Sandra J Bonom, CFNP 126 Pine Ridge Cir, Brandon, MS 39047-7514 Ph: (601) 829-3734 | Mrs Sandra J Bonom, CFNP 126 Pine Ridge Cir, Brandon, MS 39047-7514 Ph: (601) 829-3734 |
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