Doctor Name: | JANA LAMB BUNCH |
NPI Number: | 1598901696 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | BSN, RN, MSN, FNP-BC |
License Number: | RN177195 |
Business Practice Address: | 1000 B. North Veterans Blvd Glennville, GA - 30427 |
Business Phone Number: | 9126544599 |
Business Fax Number: | 9126445260 |
Mailing Address: | 210e De Renne Ave, SAVANNAH |
State: | GA |
Postal Code: | 314056736 |
Phone Number: | 9126445300 |
Fax Number: | 9126445260 |
NPI Enumeration Date: | 12/20/2008 |
NPI Last Update Date: | 12/29/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | RN177195 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |