Provider Demographics
NPI:1821531765
Name:BONSU, SONIA JASMINE (FNP, PMHNP)
Entity Type:Individual
Prefix:
First Name:SONIA
Middle Name:JASMINE
Last Name:BONSU
Suffix:
Gender:F
Credentials:FNP, PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1135 PELHAM PKWY N
Mailing Address - Street 2:APT 6C
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10469-5433
Mailing Address - Country:US
Mailing Address - Phone:646-290-4545
Mailing Address - Fax:
Practice Address - Street 1:1135 PELHAM PKWY N
Practice Address - Street 2:APT 6C
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10469-5433
Practice Address - Country:US
Practice Address - Phone:646-290-4545
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-27
Last Update Date:2023-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY641193163W00000X
MA2343220163W00000X, 363LF0000X, 363LP0808X
NY341029363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health