Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Brunda Revanna, MD

Organization Primary Care Clinic/Center · NPI 1407943228

Brunda Revanna, MD is a Primary Care Clinic/Center in Jacksonville, Alabama. Registered with an NPI since 2006.

In the registry since
2006
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Practice location Address checks out

1465 A 1st Ave SW Ste C
Jacksonville, AL 36265
Phone: (678) 432-4755
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X

Record details

NPI number1407943228
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brunda Revanna — President · (678) 432-4755
Other names Jacksonville Family Health Center
NPI enumeratedOctober 5, 2006
Last updated in NPPESJune 24, 2008
Mailing address950 Eagles Landing Pkwy #321, Stockbridge, GA 30281

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