MEDICARE: JUNE BOUNSING

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	803764	TX
2	363L00000X	Nurse Practitioner	AP130143	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1922465319
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JUNE BOUNSING

Provider Business Mailing Address
First Line	:	1524 GUY LANE PLZ
Second Line	:
City	:	DUMAS
State	:	TX
Zip	:	79029-5542
Country	:	US
Telephone Number	:	806-948-1459
Fax Number	:	806-948-1461

Provider Business Practice Location Address
First Line	:	1900 SE 34TH AVE
Second Line	:	SUITE 1700
City	:	AMARILLO
State	:	TX
Zip	:	79118-7771
Country	:	US
Telephone Number	:	806-351-7530
Fax Number	:	806-351-7539

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/15/2016
Last Update Date	:	06/25/2024

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Directions to “ JUNE BOUNSING ” Practice Location

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