MS. BONNIE LOU CLARK (NPI# 1831472133) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1831472133 |
Entity Type | Individual |
Full Name | MS. BONNIE LOU CLARK |
Credential | NP-C |
Practice Address |
1319 Duncan Ave Jeffersonville IN 47130-3759 |
Mailing Address |
1738 E Oak St New Albany IN 47150-1710 |
Practice Telephone | 8122832308 |
Mailing Telephone | 8129442861 |
Enumeration Date | 2011-09-22 |
Last Update Date | 2017-05-11 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
71003710A | IN | Physician Assistants & Advanced Practice Nursing Providers |
N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
71003710A | IN | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104173822 | Bonnie J Clark | Licensed Practical Nurse | 47 Caton Rd, Corning, NY 14830-3741 | 2012-08-13 |
1306134341 | Bonnie Kathleen Clark | Physical Therapist | 197 E Broadway St, Danville, IN 46122-1803 | 2011-07-12 |
1063563310 | Bonnie L Clark | Nurse Practitioner | 5 Silver Rdg, Veazie, ME 04401-7086 | 2007-01-15 |
1710074570 | Bonnie Lou Clark | Nurse Practitioner | 200 East Main Avenue, Suite 202, Bismarck, ND 58501 | 2006-10-05 |
1063989960 | Bonnie Clark | Counselor | 20370 Poe Sholes Dr, Bend, OR 97703-7938 | 2018-10-29 |
1306124540 | Bonnie Clark | Pharmacist | 3200 Vine St, Cincinnati, OH 45220-2213 | 2011-07-21 |
1770700130 | Bonnie Clark | Social Worker | 280 Princeton Avenue Ext, Corning, NY 14830-1524 | 2007-04-19 |
1376672428 | Bonnie Clark | Licensed Psychiatric Technician | 1680 Walden Ave, Cheektowaga, NY 14225-4914 | 2007-03-05 |
1154355204 | Bonnie B Clark | Nurse Practitioner | 1380 E Medical Center Dr, Suite 1500, St George, UT 84790-2123 | 2006-07-11 |
1508899170 | Bonnie Clark | Physician Assistant | 5400 Gibson Blvd Se, Albuquerque, NM 87108-4729 | 2006-07-08 |
Street Address |
1319 DUNCAN AVE |
City | JEFFERSONVILLE |
State | IN |
Zip Code | 47130-3759 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396936365 | Diana M Okon, M.d. PC | Obstetrics & Gynecology | 1319 Duncan Ave, Jeffersonville, IN 47130-3759 | 2007-08-06 |
1083263628 | Caitlyn O'neil | Nurse Practitioner | 1319 Duncan Ave, Jeffersonville, IN 47130-3759 | 2019-09-06 |
1295161933 | Stacey L Jacobs | Nurse Practitioner | 1319 Duncan Ave, Jeffersonville, IN 47130-3759 | 2013-09-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972124717 | Jeffersonville Commons Dental | Dentist | 1019 Jeffersonville Commons Drive, Jeffersonville, IN 47130 | 2020-05-04 |
1467099978 | Mercury Ambulance Service Inc | Ambulance | 623 Crestview Court, Jeffersonville, IN 47130 | 2019-12-03 |
1427514710 | Conn Hearing Aid Center LLC | Hearing Instrument Specialist | 1516 Spring Street, Jeffersonville, IN 47130 | 2019-02-12 |
1619446127 | Wellness for Life | Clinic/Center | 1 Pirate Pl, Charlestown, IN 47130 | 2018-11-14 |
1083199939 | Stephanie Allen LLC | Dentist | 434 Patrol Road, Suite 200, Jeffersonville, IN 47130 | 2018-09-26 |
1679068332 | Personal Choice Inc | Day Training, Developmentally Disabled Services | 3114 Clear Stream Wat, Jeffersonville, IN 47130 | 2018-06-26 |
1417454638 | Jason Allen | Social Worker | 101 Noahs Ln, Jeffersonville, IN 47130 | 2018-04-13 |
1508374299 | Kelsey Petty | Social Worker | 101 Noahs Lane, Jeffersonville, IN 47130 | 2018-01-16 |
1336658095 | Jenkins Podiatry PC | Podiatrist | 3310 Highway 62 East, Suite 179, Jeffersonville, IN 47130 | 2017-09-26 |
1831618602 | Alyssa Marie Elliott | Physical Therapist | 3040 Gottbrath Pkwy, Jeffersonville, IN 47130 | 2017-09-13 |
Find all providers in zip 47130 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124670542 | Dawn Renee Poer | Nurse Practitioner | 190 N Ware Chappel Rd, Jeffersonville, KY 40337-9033 | 2019-07-16 |
1467019935 | Amanda Goetz | Nurse Practitioner | 8 Graceland Way, Jeffersonville, IN 47130-5266 | 2019-05-21 |
1003326604 | Mitzi Weekley | Nurse Practitioner | 101 Watson Dr Ste B, Jeffersonville, GA 31044-5508 | 2017-10-09 |
1356875397 | Leslie Marie Stegall | Nurse Practitioner | 26a Railroad St, Jeffersonville, OH 43128 | 2017-04-17 |
1083016331 | La'tisha Washington | Nurse Practitioner | 2015 Aster Dr, Jeffersonville, IN 47130-4913 | 2014-09-18 |
1255696472 | Trina Michelle Cox | Nurse Practitioner | 301 Gordon Gutmann Blvd Ste 101, Jeffersonville, IN 47130-3765 | 2012-07-13 |
1861770984 | Committed 2 Care Family Practice LLC | Nurse Practitioner | 1410 Charlestown New Albany Rd, Suite 103, Jeffersonville, IN 47130-9639 | 2011-07-22 |
1437467065 | Kimberly J Speth | Nurse Practitioner | 1407 Spring St Ste 1, Jeffersonville, IN 47130-3748 | 2010-09-16 |
1407188840 | Stephanie Lynn Haler Mora | Nurse Practitioner | 1605 Fox Run Trl, Jeffersonville, IN 47130-8205 | 2010-02-10 |
1538396155 | Amanda Sue Davis-houchen | Nurse Practitioner | 1036 Sharon Dr, Jeffersonville, IN 47130-4522 | 2009-06-22 |
Find all providers in JEFFERSONVILLE |
City | JEFFERSONVILLE |
Zip Code | 47130 |
Please comment or provide details below to improve the information on MS. BONNIE LOU CLARK.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.