Nicole Dunn, RN
Individual provider Active NPI Psychiatric/Mental Health Registered Nurse · Poplar Bluff, MO
NPI 1093548331 · NPPES record last updated Aug 22, 2024
Key facts
- NPI
- 1093548331
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Registered Nurse 163WP0808X
- License
- 2005019866 (MO)
- Practice address
- 3001 Warrior LN
Poplar Bluff, MO 63901-8685 - Phone
- (573) 686-1200
- NPI assigned
- Aug 22, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2005019866 | MO | MD | Psychiatric/Mental Health Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 2005019866 | MO | Yes |
Addresses
Primary practice location
3001 Warrior LN
Poplar Bluff, MO 63901-8685
Mailing address
3001 Warrior LN
Poplar Bluff, MO 63901-8685
Phone (573) 686-1200
Other providers in Poplar Bluff, MO
- Katrina Casandra Duncan
- Rolin B Duncan
- Christina Dunivan
- Megan K Dunkin
- Karra Dunn
- Corinne Durner
- Derry Dean Dye Jr.
- Mallory Leeann Dye
- E & D Drugs,Inc.
- Jennifer Eads
All providers in Poplar Bluff, MO · Psychiatric/Mental Health Registered Nurse in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.