Type 1 individualNPI 1306704036
JOLIE P BONDURANT BSN, RN, IBCLC
163WL0100X · HEBER CITY, UT
Why this profile is appearing now
Observed change signals
No current public change signal is attached to this profile.
Reported classification
Taxonomies
| Code | Description | Source flag |
|---|---|---|
| 163WL0100X | 163WL0100X | Primary |
| 163W00000X | 163W00000X | Additional |
| 163WS0200X | 163WS0200X | Additional |
| 174N00000X | 174N00000X | Additional |
Taxonomy reporting does not establish licensure, board certification, expertise, or quality.
Longitudinal record
Observed change timeline
- 0 recorded field change s