Basic Information
| Provider Information | |||||||||
| NPI: | 1598901696 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | BUNCH | ||||||||
| FirstName: | JANA | ||||||||
| MiddleName: | LAMB | ||||||||
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| Credential: | BSN, RN, MSN, FNP-BC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 210E DE RENNE AVE | ||||||||
| Address2: | |||||||||
| City: | SAVANNAH | ||||||||
| State: | GA | ||||||||
| PostalCode: | 314056736 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9126445300 | ||||||||
| FaxNumber: | 9126445260 | ||||||||
| Practice Location | |||||||||
| Address1: | 1000 B. NORTH VETERANS BLVD | ||||||||
| Address2: | |||||||||
| City: | GLENNVILLE | ||||||||
| State: | GA | ||||||||
| PostalCode: | 30427 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9126544599 | ||||||||
| FaxNumber: | 9126445260 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/20/2008 | ||||||||
| LastUpdateDate: | 12/29/2015 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LF0000X | RN177195 | GA | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
No ID Information.