Most Relevant Information
Provider Data
| NPI Number: | 1003651480 |
| Provider Name: | STEPHANIE BUMPERS RN, IBCLC |
| Entity Type: | Individual |
| Taxonomy Code: | 163WL0100X |
| Specialty: | Registered Nurse |
| License Number: | 1-131562 |
Most Important Dates
| Enumeration Date: | 06/27/2024 |
| Last Updated: | 06/27/2024 |
Provider Practice Location
807 BETHLEHEM RD
JACKSON
AL
365456109
Practice Location Phone/Fax
| Phone: | 2517257441 |
| Fax: |
Provider Mailing Location
PO BOX 350
JACKSON
AL
365450350
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |