Provider Demographics
NPI:1891083374
Name:DUNN, JEFFREY J (DNP, ACNP)
Entity Type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:J
Last Name:DUNN
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Gender:M
Credentials:DNP, ACNP
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Mailing Address - Street 1:5121 COTTONWOOD ST
Mailing Address - Street 2:RESPIRATORY CRITICAL CARE - RICU
Mailing Address - City:MURRAY
Mailing Address - State:UT
Mailing Address - Zip Code:84107-5701
Mailing Address - Country:US
Mailing Address - Phone:801-507-6475
Mailing Address - Fax:801-507-6491
Practice Address - Street 1:5121 COTTONWOOD ST
Practice Address - Street 2:RESPIRATORY CRITICAL CARE - RICU
Practice Address - City:MURRAY
Practice Address - State:UT
Practice Address - Zip Code:84107-5701
Practice Address - Country:US
Practice Address - Phone:801-507-6475
Practice Address - Fax:801-507-6491
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-18
Last Update Date:2011-07-18
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Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
UT285673-4405363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care