Provider Demographics
NPI:1548388895
Name:NUNNELEE, JANE B (RN, PHD, GNP)
Entity Type:Individual
Prefix:DR
First Name:JANE
Middle Name:B
Last Name:NUNNELEE
Suffix:
Gender:F
Credentials:RN, PHD, GNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9841 SHADYDALE LN
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75238-4303
Mailing Address - Country:US
Mailing Address - Phone:214-553-9777
Mailing Address - Fax:214-553-9777
Practice Address - Street 1:9841 SHADYDALE LN
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75238-4303
Practice Address - Country:US
Practice Address - Phone:214-553-9777
Practice Address - Fax:214-553-9777
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX232694374T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374T00000XNursing Service Related ProvidersReligious Nonmedical Nursing Personnel