Individual
JORDAN DUNAWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1038 NORTHWEST AVE, MCCOMB, MS 39648-2116
(601) 730-7012
Mailing address
4967 HIGHWAY 569 N, LIBERTY, MS 39645-5263
(601) 810-6581
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
DUNA-463PA3
MS
Other
Enumeration date
03/17/2022
Last updated
03/17/2022
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