Provider Demographics
NPI:1396150496
Name:BOLLING, SONJA JEANNE (APRN, FNP-C)
Entity type:Individual
Prefix:MRS
First Name:SONJA
Middle Name:JEANNE
Last Name:BOLLING
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Gender:F
Credentials:APRN, FNP-C
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Mailing Address - Street 1:23415 S SHAFFER RD
Mailing Address - Street 2:
Mailing Address - City:HARRISONVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:64701-4061
Mailing Address - Country:US
Mailing Address - Phone:209-352-1881
Mailing Address - Fax:816-897-4570
Practice Address - Street 1:82 SOUTH STATE ROUTE F
Practice Address - Street 2:
Practice Address - City:GARDEN CITY
Practice Address - State:MO
Practice Address - Zip Code:64747-8125
Practice Address - Country:US
Practice Address - Phone:816-680-2252
Practice Address - Fax:816-897-4570
Is Sole Proprietor?:No
Enumeration Date:2014-06-26
Last Update Date:2025-04-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MO2014018662363LF0000X
MO2014016882363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily