Individual
MS. AUDRIONNA JANAY BOURNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
524 EXPOSE RD, COLUMBIA, MS 39429-7920
(601) 740-0713
(844) 788-9104
Mailing address
524 EXPOSE RD, COLUMBIA, MS 39429-7920
(601) 740-0713
(844) 788-9104
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
Primary
—
—
376K00000X
Nurse's Aide
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
04/27/2018
Last updated
04/27/2018
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