Provider Demographics
NPI:1730406554
Name:BONNIE J FRENCH APRN PLLC
Entity type:Organization
Organization Name:BONNIE J FRENCH APRN PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:NURSE-THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:BONNIE
Authorized Official - Middle Name:J
Authorized Official - Last Name:FRENCH
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:270-769-3714
Mailing Address - Street 1:320 JOAN AVE
Mailing Address - Street 2:
Mailing Address - City:ELIZABETHTOWN
Mailing Address - State:KY
Mailing Address - Zip Code:42701-2242
Mailing Address - Country:US
Mailing Address - Phone:270-769-3714
Mailing Address - Fax:270-769-0335
Practice Address - Street 1:320 JOAN AVE
Practice Address - Street 2:
Practice Address - City:ELIZABETHTOWN
Practice Address - State:KY
Practice Address - Zip Code:42701-2242
Practice Address - Country:US
Practice Address - Phone:270-769-3714
Practice Address - Fax:270-769-0335
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-03
Last Update Date:2012-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY1117101YP2500X
KYKY-0840101YP2500X
KY3002236364SP0809X
KYKY-0799106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No364SP0809XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, AdultGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KYP100017231Medicare PIN