Individual
MS. JULIE KAY DUNNEBACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1200 E MICHIGAN AVE, SUITE 410, LANSING, MI 48912-1800
(517) 364-5490
(517) 364-5499
Mailing address
PO BOX 13008, LANSING, MI 48901-3008
(517) 364-6253
(517) 364-6208
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
4704131284
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5008701730
BCBS INDIVIDUAL PIN
MI
Enumeration date
10/13/2006
Last updated
07/08/2007
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