| Doctor Name: | DESTINY MCDUNN |
| NPI Number: | 1063857654 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP-C |
| License Number: | AP123512 |
| Business Practice Address: | 2730 Sw Wilshire Blvd Burleson, TX - 760288338 |
| Business Phone Number: | 8179165180 |
| Business Fax Number: | |
| Mailing Address: | 120 S Briaroaks Rd, BURLESON |
| State: | TX |
| Postal Code: | 760281636 |
| Phone Number: | 9038152645 |
| Fax Number: | |
| NPI Enumeration Date: | 05/08/2013 |
| NPI Last Update Date: | 12/14/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | AP123512 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |