Individual provider · Type 1 NPI
Bonnie Sisk Eanes
Psychiatric/Mental Health Nurse Practitioner · Ellenboro, NC
NPI number
1740967330
Active
Practice location
1200 Oak Grove Church T
Ellenboro, NC 28040
Mailing address
1200 Oak Grove Church Rd
Ellenboro, NC 28040-7682
Other practice locations
- 3205 Randall Pkwy Ste 105, Wilmington, NC 28403-2565 · (910) 742-9243
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 5024763 (NC) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
About NPI 1740967330
Bonnie Sisk Eanes's National Provider Identifier is 1740967330, issued on Jul 5, 2023. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Ellenboro, NC. The record was last updated on Aug 28, 2026.