Provider Demographics
NPI:1952653040
Name:DUNN, JESSICA N (ARNP)
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:N
Last Name:DUNN
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:626 DALLAS HWY
Mailing Address - Street 2:
Mailing Address - City:VILLA RICA
Mailing Address - State:GA
Mailing Address - Zip Code:30180-1209
Mailing Address - Country:US
Mailing Address - Phone:770-459-9378
Mailing Address - Fax:770-459-8613
Practice Address - Street 1:626 DALLAS HWY
Practice Address - Street 2:
Practice Address - City:VILLA RICA
Practice Address - State:GA
Practice Address - Zip Code:30180
Practice Address - Country:US
Practice Address - Phone:770-459-9378
Practice Address - Fax:770-459-8613
Is Sole Proprietor?:No
Enumeration Date:2012-10-12
Last Update Date:2023-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9347511363L00000X
GARN281925363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner