JEAN HANAKO BUNDREN SRNA
NPI 1104757434
Student in an Organized Health Care Education/Training Program in Edwardsville, IL

Active since May 26, 2026
1 HAIRPIN DRIVE, EDWARDSVILLE, IL 62025(618) 650-3957 Get Directions Write a Review

NPPES record last updated: May 26, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jean Hanako Bundren Srna NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEAN HANAKO BUNDREN SRNA (NPI 1104757434) is an individual student in an organized health care education/training program in Edwardsville, Illinois and active in the NPI registry since May 2026.

NPPES Registry Identity

NPI1104757434
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameJEAN HANAKO BUNDRENCredential: SRNA
Location Address1 HAIRPIN DRIVEEdwardsville, IL 62025
Mailing Address100 Flamingo DrSaint Louis, MO 63123-1008 · (314) 761-7959
Sole ProprietorNo
Enumeration DateMay 26, 2026
NPPES CertifiedMay 18, 2026
NPI 1104757434 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1 HAIRPIN DRIVE, Edwardsville, IL 62025

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
1 HAIRPIN DRIVE
EDWARDSVILLE, IL 62025
Student in an Organized Health Care Education/Training Program
1 HAIRPIN DRIVE
EDWARDSVILLE, IL 62025
Student in an Organized Health Care Education/Training Program
1 HAIRPIN DRIVE
EDWARDSVILLE, IL 62025
Student in an Organized Health Care Education/Training Program
1 HAIRPIN DRIVE
EDWARDSVILLE, IL 62025

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jean Bundren's NPI number?

The NPI number for Jean Bundren is 1104757434. It was assigned to this individual provider in the NPPES registry on May 26, 2026.

Where is Jean Bundren located?

Jean Bundren practices at 1 Hairpin Drive, Edwardsville, IL 62025. The listed phone number is (618) 650-3957.

What is Jean Bundren's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Jean Bundren was last updated on May 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.