Bond, Sandra Renee

Bond, Sandra Renee is an sole proprietor health care provider with primary practice located at 2707 Jacksboro Pike Ste 1A , Jacksboro TN 37757-2752. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Bond, Sandra Renee can be contacted via phone (423) 907-8186.

Contact Information

Primary practice address
2707 Jacksboro Pike Ste 1A Jacksboro TN 37757-2752
Phone: (423) 907-8186
Fax: (423) 907-8187
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 23889 Tennessee

Profile Details

NPI number 1780185686
LBN Legal business name Bond, Sandra Renee
Credentials FNP-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 26th, 2018
Last updated Dec 22nd, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780185686 NPPES
Tennessee MEDICAID Q036604

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