Individual
MRS. DEANNA DIANNE JUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
101 THE CITY DR S, ORANGE, CA 92868-3201
(714) 456-2274
Mailing address
101 THE CITY DR S, ORANGE, CA 92868-3201
(714) 456-2274
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
23550
CA
363LG0600X
Gerontology Nurse Practitioner
23550
CA
364SA2100X
Acute Care Clinical Nurse Specialist
4034
CA
364SG0600X
Gerontology Clinical Nurse Specialist
4034
CA
Other
Enumeration date
10/04/2013
Last updated
03/15/2014
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