Individual
JILL ANNE BUNNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1601 AVOCADO AVE, NEWPORT BEACH, CA 92660-7798
(949) 763-2204
(949) 536-8036
Mailing address
PO BOX 512185, LOS ANGELES, CA 90051-0185
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95007479
CA
Other
Enumeration date
08/23/2017
Last updated
11/16/2020
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