Provider Demographics
NPI:1245523489
Name:BONNETT, JAMES THOMAS (FNP-C, RN)
Entity type:Individual
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First Name:JAMES
Middle Name:THOMAS
Last Name:BONNETT
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Gender:M
Credentials:FNP-C, RN
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Mailing Address - Street 1:2510 AIRPARK DR
Mailing Address - Street 2:STE 301
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96001
Mailing Address - Country:US
Mailing Address - Phone:530-242-3500
Mailing Address - Fax:530-242-3546
Practice Address - Street 1:2510 AIRPARK DR
Practice Address - Street 2:STE 301
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96001
Practice Address - Country:US
Practice Address - Phone:530-242-3500
Practice Address - Fax:530-242-3546
Is Sole Proprietor?:No
Enumeration Date:2011-05-20
Last Update Date:2015-08-11
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Provider Licenses
StateLicense IDTaxonomies
CA665646163W00000X
CA20516363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse