BONNER MEDICAL AND BEHAVIORAL HEALTH SPECIALISTS, PLLC
NPI 1750931655
Nurse Practitioner - Family in Memphis, TN

Q: What is Bonner Medical And Behavioral Health Specialists, PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since September 13, 2019

1288 MILL CREEK CV, MEMPHIS, TN 38134(865) 246-2104(865) 246-2106 Get Directions Write a Review

NPPES record last updated: January 23, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 23, 2020, Sep 23, 2019, Sep 13, 2019 (3 updates tracked since 2019).

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About Bonner Medical And Behavioral Health Specialists, Pllc NPPES

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

BONNER MEDICAL AND BEHAVIORAL HEALTH SPECIALISTS, PLLC (NPI 1750931655) is a healthcare organization registered as a family in Memphis, Tennessee and active in the NPI registry since September 2019. The organization lists Charlene Bonner, Owner, as its authorized official.

NPPES Registry Identity

NPI1750931655

Entity TypeOrganization

Primary Taxonomy363LF0000X

Legal Business NameBONNER MEDICAL AND BEHAVIORAL HEALTH SPECIALISTS, PLLC

Location Address1288 MILL CREEK CVMemphis, TN 38134-7820

Mailing AddressPo Box 5777Maryville, TN 37802-5777 · (865) 246-2104 · Fax (865) 246-2106

Phone(865) 246-2104

Fax(865) 246-2106

Organization SubpartNo

Authorized OfficialCharlene BonnerOwner · (865) 246-2104

Enumeration DateSeptember 13, 2019

Last NPPES UpdateJanuary 23, 20203 updates tracked since enumeration

✔ NPI 1750931655 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

1288 MILL CREEK CV, Memphis, TN 38134

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

CHARLENE BONNER FNP-C, PMHNP-BC

Nurse Practitioner (Psychiatric/Mental Health)

1288 MILL CREEK CV
MEMPHIS, TN 38134

Shelby County (865) 246-2104

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 Bonner Medical And Behavioral Health Specialists, PLLC's NPI number?

The NPI number for Bonner Medical And Behavioral Health Specialists, PLLC is 1750931655. It was assigned to this organization in the NPPES registry on September 13, 2019.

Where is Bonner Medical And Behavioral Health Specialists, PLLC located?

Bonner Medical And Behavioral Health Specialists, PLLC is located at 1288 Mill Creek Cv, Memphis, TN 38134. The listed phone number is (865) 246-2104.

What is Bonner Medical And Behavioral Health Specialists, PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Bonner Medical And Behavioral Health Specialists, PLLC was last updated on January 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.