Individual
MRS. WANDA G BOUNDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN, CNOR, RNFA
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 815-5437
Mailing address
127 POPLAR RIDGE DR, BRANDON, MS 39047-8409
(601) 506-2220
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
R740713
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1356339
CNOR
MS
Enumeration date
05/10/2016
Last updated
05/10/2016
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