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Individual
MR. JACOB DANIEL DUNNAM
Active
Individual
MR. JACOB DANIEL DUNNAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNP
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
1-142269
AL
363LA2100X
Acute Care Nurse Practitioner
1-142269
AL
363LA2200X
Adult Health Nurse Practitioner
1-142269
AL
363LG0600X
Gerontology Nurse Practitioner
1-142269
AL
Other
Enumeration date
12/15/2021
Last updated
12/15/2021
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