| Doctor Name: | MRS. BONNIE JO SMITH |
| NPI Number: | 1144398330 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP |
| License Number: | 22343 |
| Business Practice Address: | 59 College Avenue Barnhart Memorial Student Health Center West Virginia W Buckhannon, WV - 262012600 |
| Business Phone Number: | 3044738100 |
| Business Fax Number: | 3044738200 |
| Mailing Address: | Route 3 Box 244, BUCKHANNON |
| State: | WV |
| Postal Code: | 262012600 |
| Phone Number: | 3044728970 |
| Fax Number: | |
| NPI Enumeration Date: | 12/04/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LS0200X |
| License Number: | 22343 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WV |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |