Wanda G Bounds, RN, BSN, CNOR, RNFA

Primary specialty

Registered Nurse First AssistantTaxonomy code 163WR0006X

License

R740713 Issued in MS

Practice address

2500 N State St
Jackson, MS 39216-4500

Phone

(601) 815-5437

NPI assigned

May 10, 2016

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Miss Wanda Lee Guedon Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1462838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462838400000",
    "number": "1073969952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 POPLAR RIDGE DR",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390478409",
            "telephone_number": "601-506-2220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 N STATE ST",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164500",
            "telephone_number": "601-815-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUNDS",
        "first_name": "WANDA",
        "middle_name": "G",
        "name_prefix": "Mrs.",
        "credential": "RN, BSN, CNOR, RNFA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-10",
        "last_updated": "2016-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "MS",
            "license": "R740713",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CNOR",
            "identifier": "1356339",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WANDA",
            "last_name": "GUEDON",
            "middle_name": "LEE",
            "prefix": "MISS",
            "credential": "RN, BSN, CNOR, RNFA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jean A Boudreaux, PHD
• Marshall J Bouldin IV, M.D.
• Sheila Bouldin, M.D.
• Sherry Bouldin, LPC
• Nicholas Boullard, MD
• Alyssa Bouquet, MD
• Mason Boutwell
• Evan Christian Bowen, MD
• Bonnie D Bower, NP-C
• Leah Bowers, D.M.D.

• Registered Nurse First Assistant in Jackson, MS
• Providers in Jackson, MS by specialty
• Registered Nurse First Assistant in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.