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Individual

JONATHAN SCOTT NUNLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
E4615
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1104885581
MO
05
159158001
AR
05
200003690A
OK
01
5N453
BCBS ARKANSAS
AR
01
P00288003
RR
AR
Enumeration date
03/22/2006
Last updated
02/05/2025
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