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Contact Information

MARY BUNCH, FNP
1241 W STADIUM BLVD
JEFFERSON CITY, MO65109-6023
 Phone: 573-635-5264
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Women's Health

363LW0102X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for MARY BUNCH · (Female)

NPI # 1396296331
Status Active
Credentials FNP (Family Nurse Practitioner)
Entity Individual
Enumeration date 10/14/2016
Last updated 06/28/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • MO License # 2016036971
  • MO License # 2023020074
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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