Individual
MRS. JOANNA BUNDRUM CLEMENTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.R.N.P.
Contact information
Practice address
4108 WATERMELON RD, NORTHPORT, AL 35473-5130
(205) 366-9898
(205) 366-9896
Mailing address
4108 WATERMELON RD, NORTHPORT, AL 35473-5130
(205) 366-9898
(205) 366-9896
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-039155
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000051551042
—
AL
01
—
51505432
BCBS
AL
Enumeration date
07/27/2006
Last updated
05/25/2023
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