Individual provider · Type 1 NPI

Jean Hanako Bundren, SRNA

Student in an Organized Health Care Education/Training Program · Edwardsville, IL

NPI number 1104757434 Active

Practice location

1 Hairpin Drive
Edwardsville, IL 62025

Call (618) 650-3957 Map

Mailing address

100 Flamingo Dr
St. Louis, MO 63123-1008

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

4 other providers at this address

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About NPI 1104757434

Jean Hanako Bundren, SRNA's National Provider Identifier is 1104757434, issued on May 26, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Edwardsville, IL. The record was last updated on May 26, 2026.