Provider Demographics
NPI:1285028928
Name:DUNN, JESSICA JILL (MSN, RN, FNP-C)
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:JILL
Last Name:DUNN
Suffix:
Gender:F
Credentials:MSN, RN, FNP-C
Other - Prefix:
Other - First Name:JILL
Other - Middle Name:WINDHAM
Other - Last Name:DUNN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MSN, RN, FNP-C
Mailing Address - Street 1:101 PROFESSIONAL LANE
Mailing Address - Street 2:
Mailing Address - City:ENTERPRISE
Mailing Address - State:AL
Mailing Address - Zip Code:36330-2085
Mailing Address - Country:US
Mailing Address - Phone:334-347-3404
Mailing Address - Fax:334-393-0613
Practice Address - Street 1:101 PROFESSIONAL LN
Practice Address - Street 2:
Practice Address - City:ENTERPRISE
Practice Address - State:AL
Practice Address - Zip Code:36330-2085
Practice Address - Country:US
Practice Address - Phone:334-347-3404
Practice Address - Fax:334-393-0613
Is Sole Proprietor?:No
Enumeration Date:2015-03-19
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALF0713301363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily