Provider Demographics
NPI:1912533092
Name:DUNN, JAYLAND P (LPN)
Entity Type:Individual
Prefix:
First Name:JAYLAND
Middle Name:P
Last Name:DUNN
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:MS
Other - First Name:JAYLAND
Other - Middle Name:P
Other - Last Name:DUNN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPN
Mailing Address - Street 1:4700 ROCKSIDE RD STE 250
Mailing Address - Street 2:
Mailing Address - City:INDEPENDENCE
Mailing Address - State:OH
Mailing Address - Zip Code:44131-2151
Mailing Address - Country:US
Mailing Address - Phone:216-901-4400
Mailing Address - Fax:
Practice Address - Street 1:4700 ROCKSIDE RD STE 250
Practice Address - Street 2:
Practice Address - City:INDEPENDENCE
Practice Address - State:OH
Practice Address - Zip Code:44131-2151
Practice Address - Country:US
Practice Address - Phone:216-901-4400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-20
Last Update Date:2020-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH163882164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse