Sally Diane Bonham, BSN, MSN, FNP, IBCLC
Sally Diane Bonham, BSN, MSN, FNP, IBCLC is a Nurse Practitioner in Waco, Texas. Qualified in 2023, 3 years ago. Practices with Mark Malone MD PA, a 101-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Texas.
- Years since qualifying
- 3
- Licensed in
- TX
- In the registry since
- 2024
- Specialties on file
- 2
What do these letters mean?
Practice location Address checks out
3500 Hillcrest Dr Ste 1Waco, TX 76708-3144
Phone: (254) 741-6641
Fax: (257) 453-7469
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 2000 S Mays St Ste 201, Round Rock, TX 78664-7580 — (512) 244-4272
Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X · Licence 1182184 (TX) |
|---|---|
| Lactation Consultant (Registered Nurse) | Taxonomy 163WL0100X · Licence 638280 (TX) |
Record details
| NPI number | 1811750078 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | BSN , MSN , FNP , IBCLC |
| Sole proprietor | No |
| NPI enumerated | January 31, 2024 |
| Last updated in NPPES | October 29, 2025 |
| Certification date | October 29, 2025 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2023 (3 years in practice) |
| Group practice | Mark Malone Md Pa — 101 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Waco
-
Mrs. Carolyn A. Bruich, RN, IBCLC, RLC
8201 Teakwood Dr, Waco, TX 76712-2425 · (254) 749-2343
-
Sarah Etheridge
6901 Medical Pkwy, Waco, TX 76712-7910 · (601) 751-4000
-
MS. Laura Brown Freund, RN
355 Silver River Rd, Waco, TX 76705-5659 · (254) 716-7980
-
Melissa Ann Smith, RN, IBCLC
2606 Glendale Dr, Waco, TX 76710-2133 · (254) 716-3968