Provider Demographics
NPI:1710194212
Name:JUNG, DENNA S (MSN RN CPNP)
Entity Type:Individual
Prefix:
First Name:DENNA
Middle Name:S
Last Name:JUNG
Suffix:
Gender:F
Credentials:MSN RN CPNP
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Mailing Address - Street 1:2817 MADONNA DR
Mailing Address - Street 2:
Mailing Address - City:FULLERTON
Mailing Address - State:CA
Mailing Address - Zip Code:92835-1829
Mailing Address - Country:US
Mailing Address - Phone:714-525-7487
Mailing Address - Fax:
Practice Address - Street 1:4650 SUNSET BLVD.
Practice Address - Street 2:DEPARTMENT OF PEDIATRICS RADIOLOGY
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90027-0980
Practice Address - Country:US
Practice Address - Phone:323-361-3033
Practice Address - Fax:323-361-8191
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-16
Last Update Date:2010-04-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA5916363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics