Provider Demographics
NPI:1295866531
Name:DAWKINS, JURDEAN AVANEY (RN BSN)
Entity Type:Individual
Prefix:MISS
First Name:JURDEAN
Middle Name:AVANEY
Last Name:DAWKINS
Suffix:
Gender:F
Credentials:RN BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 HUMPHREYS PL
Mailing Address - Street 2:
Mailing Address - City:DORCHESTER
Mailing Address - State:MA
Mailing Address - Zip Code:02125-2202
Mailing Address - Country:US
Mailing Address - Phone:617-980-9886
Mailing Address - Fax:
Practice Address - Street 1:16 HUMPHREYS PL
Practice Address - Street 2:
Practice Address - City:DORCHESTER
Practice Address - State:MA
Practice Address - Zip Code:02125-2202
Practice Address - Country:US
Practice Address - Phone:617-980-9886
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA260636163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health