Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Bonnie J Phillips, NNP-BC

Individual provider Neonatal Nurse Practitioner · NPI 1336712652

Bonnie J Phillips, NNP-BC is a Nurse Practitioner in Indianapolis, Indiana. Qualified in 2021, 5 years ago. Works from 2 locations. Licensed in Indiana and Tennessee.

Years since qualifying
5
Licensed in
IN, TN
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

2001 W 86th St
Indianapolis, IN 46260-1902
Phone: (317) 415-7921
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 848 Adams Ave Fl 4, Memphis, TN 38103-2816 — (901) 287-4800

Specialties & licences

Neonatal Nurse Practitioner (primary) Taxonomy 363LN0000X · Licence 71017171A (IN)
Neonatal Nurse Practitioner Taxonomy 363LN0000X · Licence 29937 (TN)

Record details

NPI number1336712652
Entity typeIndividual (Type 1)
GenderFemale
Credentials NNP-BC
Sole proprietorNo
NPI enumeratedJuly 23, 2021
Last updated in NPPESDecember 22, 2025
Certification dateDecember 22, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated

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