IndividualActive
Allison Bonham
NPI 1295529253 · Psychiatric/Mental Health Nurse Practitioner · South Jordan, UT
Provider details
- NPI number
- 1295529253
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 6691900-4405 (UT)
Practice location
709 W Fondi Ct Unit L106
South Jordan, UT 84095-5890
Phone: (385) 329-7410
Mailing address
709 W Fondi Ct Unit L106
South Jordan, UT 84095-5890
Registry dates
- Enumerated
- 2025-04-07
- Last updated
- 2025-05-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.