Provider Demographics
NPI:1962861567
Name:DUNBAR, JUNON (APRN)
Entity type:Individual
Prefix:
First Name:JUNON
Middle Name:
Last Name:DUNBAR
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7402 N 56TH ST STE 710
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33617-7745
Mailing Address - Country:US
Mailing Address - Phone:813-415-7654
Mailing Address - Fax:813-653-3289
Practice Address - Street 1:7402 N 56TH ST STE 710
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33617-7745
Practice Address - Country:US
Practice Address - Phone:813-415-7654
Practice Address - Fax:813-653-3289
Is Sole Proprietor?:No
Enumeration Date:2016-02-11
Last Update Date:2024-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9288674363LF0000X
FLAPRN831452363LP0808X
FLAPRN9288674363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily