Individual
MS. RENE BONTRAGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
220 HOSPITAL DR, JACKSON, AL 36545-2459
(251) 246-1210
(251) 246-1219
Mailing address
220 HOSPITAL DR, JACKSON, AL 36545-2459
(251) 246-1210
(251) 246-1219
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-047020
AL
363LP2300X
Primary Care Nurse Practitioner
1-047020
AL
Other
Enumeration date
06/24/2014
Last updated
02/19/2019
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