Provider Demographics
NPI:1558558486
Name:PARSONS, BONNIE A (RN, MSN, GNP)
Entity Type:Individual
Prefix:
First Name:BONNIE
Middle Name:A
Last Name:PARSONS
Suffix:
Gender:F
Credentials:RN, MSN, GNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3231 SW 34TH AVE
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34474-8489
Mailing Address - Country:US
Mailing Address - Phone:352-291-5881
Mailing Address - Fax:352-854-5270
Practice Address - Street 1:3231 SW 34TH AVE
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34474-8489
Practice Address - Country:US
Practice Address - Phone:352-291-5881
Practice Address - Fax:352-854-5270
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-25
Last Update Date:2011-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP2226072363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL000461200Medicaid
FLAK831ZOtherMEDICARE PTAN