Clements, Joanna Bundrum

Clements, Joanna Bundrum is an individual health care provider with primary practice located at 4108 Watermelon Rd , Northport AL 35473-5130. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Clements, Joanna Bundrum can be contacted via phone (205) 366-9898.

Contact Information

Primary practice address
4108 Watermelon Rd Northport AL 35473-5130
Phone: (205) 366-9898
Fax: (205) 366-9896
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 1-039155 Alabama

Profile Details

NPI number 1851305874
LBN Legal business name Clements, Joanna Bundrum
Credentials C.R.N.P.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2006
Last updated May 25th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851305874 NPPES
Alabama MEDICAID 0000051551042
Alabama Other 51505432

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