MARY BUNCH FNP
Individual Provider (NPI-1)
Active
Nurse Practitioner, Family
Provider Information
- NPI Number
1396296331- Provider Type
- Individual Provider (NPI-1)
- Credentials
- FNP
- Status
- Active
Contact & Location
- Address
- 1241 W STADIUM BLVD, JEFFERSON CITY, MO, 651096023
- Phone
- (573) 635-5264
Specialties & Taxonomies
Nurse Practitioner, Family
Primary License: MO #2023020074
Nurse Practitioner, Women's Health
License: MO #2016036971