Individual provider · Type 1 NPI

Bonnie L. Dejardin, AGNP-BC

Nurse Practitioner · Green Bay, WI

NPI number 1225403157 Active

Practice location

704 S Webster Ave
Green Bay, WI 54301-3528

Call (920) 433-6050 Map

Fax (920) 433-6049

Mailing address

PO Box 22487
Green Bay, WI 54305-2487

Other practice locations

  • N4359 Doell Rd, Luxemburg, WI 54217-8068 · (920) 536-0890

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X6710-33 (WI)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

44 other providers at this address

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About NPI 1225403157

Bonnie L. Dejardin, AGNP-BC's National Provider Identifier is 1225403157, issued on Dec 3, 2015. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Green Bay, WI. The record was last updated on Jun 28, 2019.