Doctor Name: | ANN L. BOND |
NPI Number: | 1528322120 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FPMHNP |
License Number: | R654787 |
Business Practice Address: | 400 Rebel Drive University Of Mississippi University, MS - 38677 |
Business Phone Number: | 6629157274 |
Business Fax Number: | 6629155292 |
Mailing Address: | Po Box 1848, UNIVERSITY |
State: | MS |
Postal Code: | 386771848 |
Phone Number: | 6629157274 |
Fax Number: | 6629155292 |
NPI Enumeration Date: | 06/28/2012 |
NPI Last Update Date: | 03/01/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0808X |
License Number: | R654787 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |