Individual
MR. JONATHAN RICHARD DUNN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
5030 WOODMONT RIDGE CT, CLEMMONS, NC 27012-9638
(336) 703-1233
Mailing address
5030 WOODMONT RIDGE CT, CLEMMONS, NC 27012-9638
(336) 703-1233
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
141399
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8051553
—
NC
Enumeration date
12/07/2005
Last updated
08/30/2007
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