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Individual

MR. JACOB DANIEL DUNNAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CRNP

Contact information

Practice address
5 MOBILE INFIRMARY CIR, MOBILE, AL 36607-3513
(251) 435-1200
Mailing address
7848 BARRINGTON LN, DAPHNE, AL 36526-8360
(251) 599-4703

Taxonomy

Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
1-142269
AL
363LA2100X
Acute Care Nurse Practitioner
1-142269
AL
363LA2200X
Adult Health Nurse Practitioner
1-142269
AL
363LG0600X
Gerontology Nurse Practitioner
1-142269
AL

Other

Enumeration date
12/15/2021
Last updated
12/15/2021
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