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

Jennifer N Bohanon

Individual provider Physician Assistant · NPI 1316954597

Jennifer N Bohanon is a Physician Assistant in South Boston, Virginia. Graduated from University of North Dakota School of Medicine in 2004, 22 years ago. Works from 2 locations and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
22
Trained at
University of North Dakota School of Medicine
Licensed in
VA
In the registry since
2006

Practice location Address checks out

2232 Wilborn Ave Ste A
South Boston, VA 24592-1662
Phone: (434) 572-8977
Fax: (434) 572-2510
Show map & directions

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

Additional practice locations (1)

  • 2410 Atherholt Rd, Lynchburg, VA 24501-2148 — (434) 200-5252

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0110001842 (VA)

Record details

NPI number1316954597
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 1, 2006
Last updated in NPPESDecember 11, 2023
Certification dateDecember 11, 2023
Mailing addressPo Box 1115, South Boston, VA 24592-1115

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF NORTH DAKOTA SCHOOL OF MEDICINE
Graduated 2004 (22 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in South Boston