Mrs Sandra J Bonom, CFNP in Brandon, MS - Clinical Nurse Specialist

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.

Contact Information

	Mrs Sandra J Bonom, CFNP
	126 Pine Ridge Cir, Brandon, MS 39047-7514
	(601) 829-3734
	Not Available

Provider's Profile

Full Name	Mrs Sandra J Bonom
Gender	Female
Speciality	Clinical Nurse Specialist - Family Health
Location	126 Pine Ridge Cir, Brandon, Mississippi
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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Mrs Sandra J Bonom, CFNP - Clinical Nurse Specialist in Brandon, MS