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Individual
DR. JODIEY BONDURANT
Active
Individual
DR. JODIEY BONDURANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, CPNP-PC/AC, FNP
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
202101747NP-PP
OR
363LF0000X
Family Nurse Practitioner
202101747NP-PP
OR
363LP0200X
Pediatric Nurse Practitioner
Primary
202101747NP-PP
OR
363LP0200X
Pediatric Nurse Practitioner
AP60689542
WA
Other
Enumeration date
11/28/2016
Last updated
07/19/2023
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