NPI 1285815548

Sandra J Bonom, CFNP

Practitioner Family Health Clinical Nurse Specialist Brandon, MS

Practice location

Address: 126 Pine Ridge Cir, Brandon, MS 39047-7514
Phone: (601) 829-3734

Registered specialties

Family Health Clinical Nurse Specialist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 364SF0001X Licence R100760 (MS)

Other Clinical Nurse Specialist providers in Mississippi →

Registry record

NPI: 1285815548
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Nov 2007
Record last updated: 15 Nov 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.