Jamie R Bohnke
Nurse Practitioner - Pediatrics
1614 25th St
Bedford
, Indiana 47421-5000
Jamie R Bohnke
Nurse Practitioner - Pediatrics
1614 25th St
Bedford
, Indiana 47421-5000
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About
Features
Specialties
- Nurse Practitioner - Pediatrics
Languages spoken
- English
Location
First Address
- Jamie R Bohnke
- Po Box 1329
- Bloomington, IN
- Zip : 47402-1329
- Phone :
Second Address
- Jamie R Bohnke
- 1614 25th St
- Bedford, IN
- Zip : 47421-5000
- Fax : (812) 277-0127
- Phone : (812) 277-0118
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Is Jamie R Bohnke accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP0200X | Nurse Practitioner - Pediatrics | 71004476A | IN |
National Provider Identifier
| NPI | 1023457637 |
|---|---|
| Provider Name | Jamie R Bohnke |
| First Address | Bloomington, IN 47402-1329 |
| Second Address | Bedford, IN 47421-5000 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/06/2013 |
| Last Update Date | 02/12/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 201167860 | (05) | IN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.