Individual
STEVIE LAMAR DUNN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
3146 CENTRAL PKWY, SOUTHAVEN, MS 38672-9503
(662) 212-3555
Mailing address
3146 CENTRAL PKWY, SOUTHAVEN, MS 38672-9503
(662) 212-3555
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
907573
MS
Other
Enumeration date
12/27/2020
Last updated
12/27/2020
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