Doctor Name: | MRS. ESTHER DUNLAP |
NPI Number: | 1215946348 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | R606022 |
Business Practice Address: | 1820 Peabody St Tunica, MS - 386769441 |
Business Phone Number: | 6623633656 |
Business Fax Number: | |
Mailing Address: | 1820 Peabody St, TUNICA |
State: | MS |
Postal Code: | 386769441 |
Phone Number: | 6623633971 |
Fax Number: | 6623637351 |
NPI Enumeration Date: | 08/07/2006 |
NPI Last Update Date: | 04/04/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | R606022 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |