MRS. JONNA MARIE PENDERGRASS RN
NPI 1194032243
Registered Nurse - Diabetes Educator in Bolivar, MO

Q: What is Jonna Pendergrass's NPI number?

The NPI number for Jonna Pendergrass is 1194032243. It was assigned to this individual provider in the NPPES registry on September 10, 2010.

Q: What is Jonna Pendergrass's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Diabetes Educator, with taxonomy code 163WD0400X.

Q: When was this NPI record last updated?

The NPPES record for Jonna Pendergrass was last updated on September 10, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years 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.

Active since September 10, 2010

1245 N BUTTERFIELD RD, BOLIVAR, MO 65613(417) 328-7702 Get Directions Write a Review

NPPES record last updated: September 10, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mrs. Jonna Marie Pendergrass Rn NPPES

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

MRS. JONNA MARIE PENDERGRASS RN (NPI 1194032243) is an individual diabetes educator provider in Bolivar, Missouri, licensed in Missouri (137375) and active in the NPI registry since September 2010.

NPPES Registry Identity

NPI1194032243

Entity TypeIndividualFemale

Primary Taxonomy163WD0400X

Provider Legal NameMRS. JONNA MARIE PENDERGRASSCredential: RN

Location Address1245 N BUTTERFIELD RDBolivar, MO 65613-3017

Mailing Address1245 N Butterfield RdBolivar, MO 65613-3017 · (417) 328-7702

Phone(417) 328-7702

Sole ProprietorNo

Enumeration DateSeptember 10, 2010

✔ NPI 1194032243 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · Diabetes EducatorNursing Service Providers

Taxonomy Code163WD0400X

License✔ Licensed in MO · 137375

1245 N BUTTERFIELD RD, Bolivar, MO 65613

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Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PARKVIEW ORTHOPAEDIC CLINIC

Orthopaedic Surgery

1245 N BUTTERFIELD RD
BOLIVAR, MO 65613

Polk County (417) 777-2663

MR. ROBERT DALE CAGLE D.O.

Otolaryngology

1245 N BUTTERFIELD RD
BOLIVAR, MO 65613

Polk County (417) 328-7702

CMH INSTITUTE FOR PAIN MANAGEMENT

Anesthesiology (Pain Medicine)

1245 N BUTTERFIELD RD
BOLIVAR, MO 65613

Polk County (417) 326-7246

DR. CURTIS PAUL SCHREIBER MD

Psychiatry & Neurology (Neurology)

1245 N BUTTERFIELD RD
BOLIVAR, MO 65613

Polk County (417) 327-3530

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 Jonna Pendergrass's NPI number?

The NPI number for Jonna Pendergrass is 1194032243. It was assigned to this individual provider in the NPPES registry on September 10, 2010.

Where is Jonna Pendergrass located?

Jonna Pendergrass practices at 1245 N Butterfield Rd, Bolivar, MO 65613. The listed phone number is (417) 328-7702.

What is Jonna Pendergrass's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Diabetes Educator, with taxonomy code 163WD0400X.

When was this NPI record last updated?

The NPPES record for Jonna Pendergrass was last updated on September 10, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years 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.