Provider Demographics
NPI:1487930236
Name:BOND, JO ANN (FNP-BC)
Entity type:Individual
Prefix:
First Name:JO
Middle Name:ANN
Last Name:BOND
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:JO ANN
Other - Middle Name:BOLDEN
Other - Last Name:BOLDEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:13198 JAMES MADISON HWY
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:VA
Mailing Address - Zip Code:22960-2808
Mailing Address - Country:US
Mailing Address - Phone:540-672-3010
Mailing Address - Fax:540-672-5713
Practice Address - Street 1:13198 JAMES MADISON HWY
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:VA
Practice Address - Zip Code:22960-2808
Practice Address - Country:US
Practice Address - Phone:540-672-3010
Practice Address - Fax:540-672-5713
Is Sole Proprietor?:No
Enumeration Date:2011-10-25
Last Update Date:2012-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024169614363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAGC1100Medicare UPIN