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

Bonny Jean Waggoner, FNP

Individual provider Registered Nurse · NPI 1427639301

Bonny Jean Waggoner, FNP is a Nurse Practitioner in Mountain View, California. Qualified in 2020, 6 years ago. Practices with Sutter Valley Medical Foundation, a 2,464-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in California and Tennessee.

Years since qualifying
6
Licensed in
CA, TN
In the registry since
2021
Specialties on file
3
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

See every abbreviation used in this directory →

Practice location Address checks out

701 E El Camino Real
Mountain View, CA 94040-2833
Phone: (650) 404-8370
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 13570 N Main St, Trenton, GA 30752-2012 — (706) 956-2665

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 95026506 (CA)
Registered Nurse Taxonomy 163W00000X · Licence 252583 (TN)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 29509 (TN)

Record details

NPI number1427639301
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedApril 21, 2021
Last updated in NPPESDecember 21, 2023
Certification dateDecember 21, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Sutter Valley Medical Foundation — 2464 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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