Provider Demographics
NPI:1174816375
Name:DUNLAP, RUBY K (APRNBC)
Entity Type:Individual
Prefix:DR
First Name:RUBY
Middle Name:K
Last Name:DUNLAP
Suffix:
Gender:F
Credentials:APRNBC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:564 ROSEDALE AVE
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37211-2048
Mailing Address - Country:US
Mailing Address - Phone:615-499-5343
Mailing Address - Fax:
Practice Address - Street 1:564 ROSEDALE AVE
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37211-2048
Practice Address - Country:US
Practice Address - Phone:615-499-5343
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-05-20
Last Update Date:2011-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN5875363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology