MEDICARE: JENNIFER LYNN DUNHAM NP

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	5010400	NC
2	363L00000X	Nurse Practitioner	5010400	NC

General Provider Information

NPI Number	:	1821338443
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER LYNN DUNHAM NP

Provider Business Mailing Address
First Line	:	PO BOX 60447
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28260-0447
Country	:	US
Telephone Number	:	704-316-2050
Fax Number	:	704-316-2051

Provider Business Practice Location Address
First Line	:	7920 MOORES CHAPEL RD
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28214-8923
Country	:	US
Telephone Number	:	704-926-7800
Fax Number	:	704-926-7806

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

Provider Enumeration Date	:	02/19/2013
Last Update Date	:	09/10/2025

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