Provider Demographics
NPI:1316595853
Name:BONNES, JAMIE GARCIA (FNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:JAMIE
Middle Name:GARCIA
Last Name:BONNES
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:313 NORTHLINE RD
Mailing Address - Street 2:
Mailing Address - City:DEL RIO
Mailing Address - State:TX
Mailing Address - Zip Code:78840-3475
Mailing Address - Country:US
Mailing Address - Phone:830-703-9125
Mailing Address - Fax:
Practice Address - Street 1:313 NORTHLINE RD
Practice Address - Street 2:
Practice Address - City:DEL RIO
Practice Address - State:TX
Practice Address - Zip Code:78840-3475
Practice Address - Country:US
Practice Address - Phone:830-703-9125
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-28
Last Update Date:2019-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP142631363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner