Healthcare Provider Details

I. General information

NPI: 1609907328
Provider Name (Legal Business Name): ASHLEY JENNIFER DUNN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/07/2007
Last Update Date: 01/31/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

WALTER REED NATIONAL MILITARY CTR 8901 WISCONSIN AVENUE, BUILDING 19
BETHESDA MD
20889-0001
US

IV. Provider business mailing address

18609 WOODGATE PL
OLNEY MD
20832-1894
US

V. Phone/Fax

Practice location:
  • Phone: 301-295-4941
  • Fax: 301-295-6173
Mailing address:
  • Phone: 301-305-1700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberD0061607
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: