Provider Demographics
NPI:1992436687
Name:DUNN, PATRICIA DAVIS
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:DAVIS
Last Name:DUNN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1824 PETERSBURG AVE
Mailing Address - Street 2:
Mailing Address - City:LAKELAND
Mailing Address - State:FL
Mailing Address - Zip Code:33803-2540
Mailing Address - Country:US
Mailing Address - Phone:863-589-3890
Mailing Address - Fax:
Practice Address - Street 1:1824 PETERSBURG AVE
Practice Address - Street 2:
Practice Address - City:LAKELAND
Practice Address - State:FL
Practice Address - Zip Code:33803-2540
Practice Address - Country:US
Practice Address - Phone:863-589-3890
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-22
Last Update Date:2022-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula