Provider Demographics
NPI:1407824196
Name:DUNN, JENNIFER ANN (APRN)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:ANN
Last Name:DUNN
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:JENNIFER
Other - Middle Name:ANN
Other - Last Name:SHORT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:520 S. SANTA FE, SUITE 120
Mailing Address - Street 2:
Mailing Address - City:SALINA
Mailing Address - State:KS
Mailing Address - Zip Code:67401
Mailing Address - Country:US
Mailing Address - Phone:785-452-7325
Mailing Address - Fax:785-452-6570
Practice Address - Street 1:520 S. SANTA FE, SUITE 120
Practice Address - Street 2:
Practice Address - City:SALINA
Practice Address - State:KS
Practice Address - Zip Code:67401
Practice Address - Country:US
Practice Address - Phone:785-452-7325
Practice Address - Fax:785-452-6570
Is Sole Proprietor?:No
Enumeration Date:2006-03-09
Last Update Date:2022-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS45150363L00000X
MO2021013215363LA2100X
KS53-45150363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100351530BMedicaid
KSP00018127OtherRAILROAD MEDICARE
KSP00018127OtherRAILROAD MEDICARE
KS100351530BMedicaid