Healthcare Provider Details

I. General information

NPI: 1699602797
Provider Name (Legal Business Name): YESENIA ELISE DUNN APRN, AGNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/05/2026
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

131 SUNSET CT
WEST COLUMBIA SC
29169-2429
US

IV. Provider business mailing address

143 GREENWAY AVE
UNION SC
29379-7914
US

V. Phone/Fax

Practice location:
  • Phone: 803-796-2222
  • Fax: 803-796-7839
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number31583
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: