Provider Demographics
NPI:1386378735
Name:DAHUNSI, JOHN (DNP)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:
Last Name:DAHUNSI
Suffix:
Gender:M
Credentials:DNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17709 QUEEN ELIZABETH DR
Mailing Address - Street 2:
Mailing Address - City:OLNEY
Mailing Address - State:MD
Mailing Address - Zip Code:20832-2137
Mailing Address - Country:US
Mailing Address - Phone:301-305-9738
Mailing Address - Fax:
Practice Address - Street 1:17709 QUEEN ELIZABETH DR
Practice Address - Street 2:
Practice Address - City:OLNEY
Practice Address - State:MD
Practice Address - Zip Code:20832-2137
Practice Address - Country:US
Practice Address - Phone:301-305-9738
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-12
Last Update Date:2023-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR201599363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health