Individual
LEAH JORDAN GUNDERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
830 S GLOSTER ST, TUPELO, MS 38801-4996
(662) 377-3000
Mailing address
207 WOODMONT DR, RUSSELLVILLE, AL 35653-5873
(256) 665-2225
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1-181400
AL
367500000X
Certified Registered Nurse Anesthetist
Primary
1-181400
AL
Other
Enumeration date
07/29/2024
Last updated
02/26/2026
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