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Jamie R Bohnke, CPNP
Pediatric Nurse Practitioner in Bedford, Indiana
NPI 1023457637

Jamie R Bohnke is a Pediatric Nurse Practitioner based in Bloomington, IN and is specialized in Pediatrics. Jamie R Bohnke practices in Bedford, IN and has the professional credentials of CPNP. The NPI Number for Jamie R Bohnke is 1023457637 and holds a License No. 71004476A (Indiana).

The current practice location address for Jamie R Bohnke is 1614 25Th St, Bedford, IN and can be reached out via phone at 812-277-0118 and via fax at 812-277-0127.

Location: 1614 25Th St, Bedford, IN, 47402-1329
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1023457637
Provider Name
Jamie R Bohnke
Credential
CPNP
Provider Entity Type
Individual
Gender
Female
Address
1614 25Th St, Bedford, IN, 47402-1329
Phone Number
812-277-0118
Fax Number
812-277-0127
Provider Enumeration Date
06/17/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
201167860 05 IN
institution
Provider Business Practice Location Address Details
Address
1614 25Th St
City
Bedford
State
Indiana
Zip
47421-5000
Phone Number
812-277-0118
Fax Number
812-277-0127
person
Provider Business Mailing Address Details
Address
1614 25Th St
City
Bedford
State
Indiana
Zip
47421-5000
Phone Number
812-277-0118
Fax Number
812-277-0127
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
363LP0200X
License No.
71004476A (Indiana)
Definition
Definition to come...
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