Individual provider · Type 1 NPI
Nicole Marie Bondurant, DNP, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · St. Louis, MO
NPI number
1174479307
Active
Practice location
1325 Boland Pl Apt 1024
St. Louis, MO 63117-2180
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 2018035085 (MO) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1174479307
Nicole Marie Bondurant, DNP, PMHNP-BC's National Provider Identifier is 1174479307, issued on Mar 9, 2026. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in St. Louis, MO. The record was last updated on Mar 9, 2026.