Individual
DENNIS JOHN JUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNP
Contact information
Practice address
2025 GALISTEO ST, SANTA FE, NM 87505-2101
(505) 995-4901
(505) 989-6426
Mailing address
2025 GALISTEO ST, SANTA FE, NM 87505-2101
(505) 995-4901
(505) 989-6426
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN27843
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10009148
LOVELACE
—
01
—
201004971
PRESBYTERIAN HEALTH PLANS
—
01
—
2340212
UHC
—
05
—
98478
—
NM
01
—
NM006954
BCBS NM
NM
01
—
QMYPR0069326
MOLINA
—
Enumeration date
03/09/2006
Last updated
11/08/2011
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