IndividualActive
Jennifer Bourne, MD
NPI 1447745559 · Surgical Oncology Physician · Lakeland, FL
Provider details
- NPI number
- 1447745559
- Entity type
- Individual
- Primary specialty
- Surgical Oncology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- ME159837 (FL)
Practice location
3525 Lakeland Hills Blvd
Lakeland, FL 33805-1965
Phone: (863) 603-6565
Mailing address
1324 Lakeland Hills Blvd
Lakeland, FL 33805-4543
Registry dates
- Enumerated
- 2018-06-30
- Last updated
- 2026-01-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.