Provider Demographics
NPI:1760081103
Name:DUNN, SHERNETTE P (RN)
Entity Type:Individual
Prefix:MRS
First Name:SHERNETTE
Middle Name:P
Last Name:DUNN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1448 ROYCE ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11234-5924
Mailing Address - Country:US
Mailing Address - Phone:347-902-5834
Mailing Address - Fax:
Practice Address - Street 1:1448 ROYCE ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11234-5924
Practice Address - Country:US
Practice Address - Phone:347-581-7663
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-17
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY634008163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY000000000OtherDO NOT HAVE ONE AT THIS TIME
00000000OtherDONT HAVE ONE AT THIS TIME