Provider Demographics
NPI:1275753444
Name:JURINKA, DANA JONES (CACNP)
Entity Type:Individual
Prefix:
First Name:DANA
Middle Name:JONES
Last Name:JURINKA
Suffix:
Gender:F
Credentials:CACNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8717 FRANK SNELL RD
Mailing Address - Street 2:
Mailing Address - City:MOSS POINT
Mailing Address - State:MS
Mailing Address - Zip Code:39562-9499
Mailing Address - Country:US
Mailing Address - Phone:228-588-3773
Mailing Address - Fax:
Practice Address - Street 1:4416 HIGHWAY 614
Practice Address - Street 2:
Practice Address - City:MOSS POINT
Practice Address - State:MS
Practice Address - Zip Code:39562-7567
Practice Address - Country:US
Practice Address - Phone:228-588-3377
Practice Address - Fax:228-588-3377
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-27
Last Update Date:2011-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSR851555363LA2100X, 363LF0000X, 363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics