Waggoner, Bonny Jean

Waggoner, Bonny Jean is an individual health care provider with primary practice located at 701 E El Camino Real , Mountain View CA 94040-2833. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Waggoner, Bonny Jean can be contacted via phone (650) 404-8370.

Contact Information

Primary practice address
701 E El Camino Real Mountain View CA 94040-2833
Phone: (650) 404-8370
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 252583 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 29509 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 95026506 California

Profile Details

NPI number 1427639301
LBN Legal business name Waggoner, Bonny Jean
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 21st, 2021
Last updated Dec 21st, 2023 - about 3 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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