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

Jordan Bonner-Poole

Individual provider Physician Assistant · NPI 1548794100

Jordan Bonner-Poole is a Physician Assistant in Dayton, Ohio. Registered with an NPI since 2017.

In the registry since
2017

Practice location Address checks out

1 Wyoming St
Dayton, OH 45409-2722
Phone: (374) 782-9519
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1548794100
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 20, 2017
Last updated in NPPESJanuary 28, 2025
Certification dateJanuary 28, 2025
Mailing address1 Wyoming St, Dayton, OH 45409-2722

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