| Jennifer Bonner, | |
| 
					3215 N Northhills Blvd, Fayetteville, AR 72703-4424  | |
| (479) 409-3045 | |
| Not Available | 
| Full Name | Jennifer Bonner | 
|---|---|
| Gender | Female | 
| Speciality | Registered Nurse - Neuroscience | 
| Location | 3215 N Northhills Blvd, Fayetteville, Arkansas | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1215383385 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 163WN0800X | Registered Nurse - Neuroscience | R070615 (Arkansas) | Primary | 
| Entity Name | Washington Regional Medical System | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1104097500 PECOS PAC ID: 8820995434 Enrollment ID: O20080630000683  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Jennifer Bonner, 210 W Park St, Lincoln, AR 72744-8718 Ph: (479) 409-3045  | Jennifer Bonner, 3215 N Northhills Blvd, Fayetteville, AR 72703-4424 Ph: (479) 409-3045  | 
Brittany Lynn Huls, APRN Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 3 E Appleby Rd Ste 401, Fayetteville, AR 72703 Phone: 479-404-2500 Fax: 479-404-2501  | |
Aliya Fidai,  Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 3715 N Business Dr Ste 202, Fayetteville, AR 72703 Phone: 479-582-0778 Fax: 479-582-0778  | |
Sylvia Marinus,  Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 3715 Business Drive, Suite 202, Fayetteville, AR 72703 Phone: 866-717-4622 Fax: 479-582-0778  | |
Jennifer Watkins,  Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 6363 W Wedington Dr, Fayetteville, AR 72704 Phone: 479-800-4185 Fax: 479-316-0372  | |
Leah Evans, APN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 112 W Center St Ste 200, Fayetteville, AR 72701 Phone: 501-661-0720 Fax: 501-325-7938  | |
Dr. Dustin Taylor Brannon, DNAP-CRNA Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 3215 N Northhills Blvd, Fayetteville, AR 72703 Phone: 479-463-1000  | |
Elizabeth Ann Young, APRN Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 3215 N North Hills Blvd, Fayetteville, AR 72703 Phone: 479-463-7102 Fax: 479-463-5987  |