Individual
JOLIE P BONDURANT
Active
Individual
JOLIE P BONDURANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN, RN, IBCLC
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
12844124-3102
UT
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
12844124-3102
UT
163WS0200X
School Registered Nurse
12844124-3102
UT
174N00000X
Lactation Consultant (Non-RN)
—
—
Other
Enumeration date
01/12/2026
Last updated
01/12/2026
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