Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRUNDA REVANNA, MD
Active OrganizationBRUNDA REVANNA, MD is a Primary Care Clinic organization located in JACKSONVILLE, Alabama. NPI 1407943228 is currently active in the NPPES registry. Verify at CMS.
Primary Care Clinic · JACKSONVILLE, AL
Registration Details
- NPI Number
- 1407943228
- Provider Type
- Organization
- NPI Issued
- Oct 5, 2006 (19.890646357496 yrs)
- Last Updated
- Jun 24, 2008
Practice Information
- Address
-
1465 A 1ST AVE SW STE CJACKSONVILLE, AL, 36265Browse AL providers · Browse ZIP 36265
- Phone
- 6784324755
- Primary Specialty
-
Primary Care Clinic
261QP2300X
Other Primary Care Clinic Organizations in JACKSONVILLE, AL
| Name | NPI |
|---|---|
| JENNIFER WOODARD CRNP | 1043083819 |
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.