Provider Demographics
NPI:1457060329
Name:DUNN, KATELYN MAE (APRN-CNP, PMHNP-BC)
Entity Type:Individual
Prefix:
First Name:KATELYN
Middle Name:MAE
Last Name:DUNN
Suffix:
Gender:F
Credentials:APRN-CNP, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7120 NEILLS BRANCH DR
Mailing Address - Street 2:
Mailing Address - City:COLLEGE GROVE
Mailing Address - State:TN
Mailing Address - Zip Code:37046-1491
Mailing Address - Country:US
Mailing Address - Phone:832-687-5976
Mailing Address - Fax:
Practice Address - Street 1:7120 NEILLS BRANCH DR
Practice Address - Street 2:
Practice Address - City:COLLEGE GROVE
Practice Address - State:TN
Practice Address - Zip Code:37046-1491
Practice Address - Country:US
Practice Address - Phone:832-687-5976
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-21
Last Update Date:2023-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX869320163WP0808X
TX1129831363LP0808X
TN34799363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health