Provider Demographics
NPI:1255600896
Name:DUNN, CATHY CLARE (FNP)
Entity type:Individual
Prefix:MRS
First Name:CATHY
Middle Name:CLARE
Last Name:DUNN
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2300 FOREST HILL IRENE RD
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:TN
Mailing Address - Zip Code:38139-6704
Mailing Address - Country:US
Mailing Address - Phone:901-754-2051
Mailing Address - Fax:
Practice Address - Street 1:2300 FOREST HILL IRENE RD
Practice Address - Street 2:
Practice Address - City:GERMANTOWN
Practice Address - State:TN
Practice Address - Zip Code:38139-6704
Practice Address - Country:US
Practice Address - Phone:901-754-2051
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-28
Last Update Date:2011-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAPN0000016221363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily