MEDICARE: MRS. JESSICA RENEE DUNNE FNP-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	22183	CA

General Provider Information

NPI Number	:	1518201888
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JESSICA RENEE DUNNE FNP-C

Provider Business Mailing Address
First Line	:	318 W EL NORTE PKWY
Second Line	:
City	:	ESCONDIDO
State	:	CA
Zip	:	92026-1925
Country	:	US
Telephone Number	:	760-489-1505
Fax Number	:

Provider Business Practice Location Address
First Line	:	318 W EL NORTE PKWY
Second Line	:
City	:	ESCONDIDO
State	:	CA
Zip	:	92026-1925
Country	:	US
Telephone Number	:	760-489-1505
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/26/2012
Last Update Date	:	06/14/2021

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