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

Jacob Bonner

Individual provider Peer Specialist · NPI 1104588789

Jacob Bonner is a Peer Specialist in Cleveland, Ohio. Licensed in Ohio. Registered with an NPI since 2021.

Licensed in
OH
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

13377 Smith Rd
Cleveland, OH 44130-7810
Phone: (440) 340-5558
Fax: (440) 340-5575
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X · Licence 0002342 (OH)
Peer Specialist Taxonomy 175T00000X (OH)

Record details

NPI number1104588789
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 11, 2021
Last updated in NPPESOctober 11, 2021
Certification dateOctober 11, 2021
Mailing address13377 Smith Rd, Cleveland, OH 44130-7810

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