Healthcare Provider Details

I. General information

NPI: 1851693683
Provider Name (Legal Business Name): JENNIFER G. DUNN APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JENNIFER G. LAMB APRN

II. Dates (important events)

Enumeration Date: 11/30/2010
Last Update Date: 02/27/2024
Certification Date: 02/27/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5501 N PORTLAND AVE
OKLAHOMA CITY OK
73112-2074
US

IV. Provider business mailing address

3301 NW 52ND ST
OKLAHOMA CITY OK
73112-5635
US

V. Phone/Fax

Practice location:
  • Phone: 918-671-5001
  • Fax:
Mailing address:
  • Phone: 918-671-5001
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SG0600X
TaxonomyGerontology Clinical Nurse Specialist
License NumberR51884
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: