Jonathan Rene Broniste
APN | Nurse Practitioner | 17+ years Exp
603 S Division St, Lavaca
Arkansas, 72941-4129
479-674-9181
Jonathan Rene Broniste is a Lavaca, Arkansas based nurse practitioner with 17 years of experience in . He completed his graduation in 2008. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Jonathan Rene Broniste is A03206 in Arkansas. His current practice location is 603 S Division St, Lavaca. Patients can reach him at 479-674-9181 or can fax him at 479-674-8105. Jonathan Rene Broniste is APN and his NPI number (Unique professional ID assigned by NPPES) is 1275774440.
Jonathan Rene Broniste has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Jonathan Rene Broniste speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Jonathan Rene Broniste |
| Specialization: | Nurse Practitioner (NP) |
| Gender: | Male |
| Credentials: | APN |
| Experience: | 17+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2008 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 603 S Division St, Lavaca,
Arkansas, 72941-4129 |
| Phone: | 479-674-9181 |
| Fax: | 479-674-8105 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 4587790936 |
| Enrollment ID: | I20100325000106 |
| NPI Number: | 1275774440 |
| NPI Enumeration Date: | 17 Mar, 2009 |
| NPI Last Update On: | 23 Sep, 2015 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jonathan Rene Broniste are as mentioned below.
| License Number | Specialization | State | Status | |
| A03206 | | Arkansas | Primary | |
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
| Hospital Name (CCN) | State | Hospital Type |
| (040062) | Fort smith, AR | Acute Care Hospital |
Other Medical Identifiers:
Other legacy medical identifiers associated with Jonathan Rene Broniste such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| A03206 | Other | Arkansas | LICENSE NUMBER |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Jonathan Rene Broniste
603 S Division St,
Lavaca, Arkansas |
| Zip: | 72941-4129 |
| Phone Number: | 479-674-9181 |
| Fax Number: | 479-674-8105 |
Patients can reach Jonathan Rene Broniste at
603 S Division St, Lavaca, Arkansas or can
call to book an appointment on 479-674-9181.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.