Provider Demographics
NPI:1851401301
Name:BUNSIC, JANA GORDON (DO)
Entity Type:Individual
Prefix:DR
First Name:JANA
Middle Name:GORDON
Last Name:BUNSIC
Suffix:
Gender:F
Credentials:DO
Other - Prefix:DR
Other - First Name:JANA
Other - Middle Name:
Other - Last Name:GORDON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:420 WEST MORRIS BOULEVARD
Mailing Address - Street 2:
Mailing Address - City:MORRISTOWN
Mailing Address - State:TN
Mailing Address - Zip Code:37813
Mailing Address - Country:US
Mailing Address - Phone:423-581-2538
Mailing Address - Fax:423-581-2660
Practice Address - Street 1:420 WEST MORRIS BOULEVARD
Practice Address - Street 2:SUITE 400G
Practice Address - City:MORRISTOWN
Practice Address - State:TN
Practice Address - Zip Code:37813
Practice Address - Country:US
Practice Address - Phone:423-581-2538
Practice Address - Fax:423-581-2660
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2022-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS90242083P0500X
TN1984207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No2083P0500XAllopathic & Osteopathic PhysiciansPreventive MedicinePreventive Medicine/Occupational Environmental Medicine