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MS. NICOLE MARIE BONDURANT DNP, PMHNP-BC
NPI 1174479307
Nurse Practitioner - Psychiatric/Mental Health in Saint Louis, MO

Active since March 09, 2026
1325 BOLAND PL APT 1024, SAINT LOUIS, MO 63117(314) 602-1202 Get Directions Write a Review

NPPES record last updated: March 9, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Nicole Marie Bondurant Dnp, Pmhnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. NICOLE MARIE BONDURANT DNP, PMHNP-BC (NPI 1174479307) is an individual psychiatric/mental health provider in Saint Louis, Missouri, licensed in Missouri (2018035085) and active in the NPI registry since March 2026.

NPPES Registry Identity

NPI1174479307
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMS. NICOLE MARIE BONDURANTCredential: DNP, PMHNP-BC
Location Address1325 BOLAND PL APT 1024Saint Louis, MO 63117-2180
Mailing Address1325 Boland Pl Apt 1024Saint Louis, MO 63117-2180 · (314) 602-1202
Phone(314) 602-1202
Sole ProprietorYes
Enumeration DateMarch 9, 2026
NPPES CertifiedMarch 9, 2026
✔ NPI 1174479307 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in MO · 2018035085
1325 BOLAND PL APT 1024, Saint Louis, MO 63117
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicole Bondurant's NPI number?

The NPI number for Nicole Bondurant is 1174479307. It was assigned to this individual provider in the NPPES registry on March 9, 2026.

Where is Nicole Bondurant located?

Nicole Bondurant practices at 1325 Boland Pl Apt 1024, Saint Louis, MO 63117. The listed phone number is (314) 602-1202.

What is Nicole Bondurant's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Nicole Bondurant was last updated on March 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.