Provider Demographics
NPI:1437634870
Name:BONDS, SHAQUITA (FNP)
Entity Type:Individual
Prefix:
First Name:SHAQUITA
Middle Name:
Last Name:BONDS
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:425 LONG CREEK DR
Mailing Address - Street 2:
Mailing Address - City:CHRISTIANA
Mailing Address - State:TN
Mailing Address - Zip Code:37037-5466
Mailing Address - Country:US
Mailing Address - Phone:615-830-9695
Mailing Address - Fax:
Practice Address - Street 1:999 GIRL SCOUT RD
Practice Address - Street 2:
Practice Address - City:BURNS
Practice Address - State:TN
Practice Address - Zip Code:37029-9065
Practice Address - Country:US
Practice Address - Phone:615-913-8493
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-02
Last Update Date:2019-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN23496363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner