Individual
SUNNY DEDMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
6201 HARRY HINES BLVD, DALLAS, TX 75390-5461
(405) 334-2432
Mailing address
PO BOX 845347, DALLAS, TX 75284-7208
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP141011
TX
363LA2100X
Acute Care Nurse Practitioner
2018069126
TX
Other
Enumeration date
06/12/2019
Last updated
07/22/2021
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