Individual
JAWANZA RASHIDA BUNDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP-BC, CNM
Contact information
Practice address
800 SPRUCE ST, PHILADELPHIA, PA 19107-6130
(215) 829-2345
(215) 829-3365
Mailing address
800 SPRUCE ST, PHILADELPHIA, PA 19107-6130
(215) 829-2345
(215) 829-3365
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
VP004041G
PA
Other
Enumeration date
07/23/2018
Last updated
10/21/2019
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