Provider Demographics
NPI:1679141204
Name:DUNSON, MOLLY LUHRS (RN, FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:MOLLY
Middle Name:LUHRS
Last Name:DUNSON
Suffix:
Gender:F
Credentials:RN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:26500 AGOURA RD STE 102-587
Mailing Address - Street 2:
Mailing Address - City:CALABASAS
Mailing Address - State:CA
Mailing Address - Zip Code:91302-1952
Mailing Address - Country:US
Mailing Address - Phone:818-880-8605
Mailing Address - Fax:
Practice Address - Street 1:7651 TCHULAHOMA RD STE 2
Practice Address - Street 2:
Practice Address - City:SOUTHAVEN
Practice Address - State:MS
Practice Address - Zip Code:38671-9227
Practice Address - Country:US
Practice Address - Phone:662-349-0980
Practice Address - Fax:662-349-0990
Is Sole Proprietor?:No
Enumeration Date:2021-06-10
Last Update Date:2023-11-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MS904223363LF0000X
TN28394363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily