Active NPI
Jessica Jill Dunn, MSN, RN, FNP-C
- Family Nurse Practitioner
- Enterprise, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F0713301
- Practice address
- 101 Professional LN
Enterprise, AL 36330-2085 - Phone
- (334) 347-3404
- Fax
- (334) 393-0613
- NPI assigned
- Mar 19, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F0713301 | AL | Primary |
Addresses
Primary practice location
101 Professional LN
Enterprise, AL 36330-2085
Mailing address
101 Professional Lane
Enterprise, AL 36330-2085
Phone (334) 347-3404
Other names 1
- Jill Windham Dunn
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
101 Professional LN
Enterprise, AL 36330-2085
Phone (334) 347-3404
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Master of Science - Nursing, Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F0713301 | AL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Houston County Healthcare Authority | Current | Accepting new patients | |
| Houston County Healthcare Authority | Current | Accepting new patients | |
| Enterprise Clinic LLC | Current | Accepting new patients | |
| Houston County Healthcare Authority | Current | Accepting new patients | |
| Southeast Alabama Medical Center Employee Pharmacy | Past | Accepting new patients |
Locations
1108 Ross Clark Cir
Dothan, AL 36301
Phone (334) 712-3635
1118 Ross Clark Cir
Ste 500
Dothan, AL 36301
Phone (334) 794-4159
101 Professional Ln
Enterprise, AL 36330
Phone (334) 347-3404
101 E Brunson St
Ste 110
Enterprise, AL 36330
Phone (334) 347-9355
805 E Lee St
Ste C
Enterprise, AL 36330
Phone (334) 348-8818
Interoperability endpoints
- jdunn12317@southeasthealth.direct-ci.com
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Samc-Enterprise Medical Clinic
- Internal Medicine Physician
- Enterprise, AL
- NPI 1619026606
-
- Family Medicine Physician
- Enterprise, AL
- NPI 1639491616
-
dba SAMC- Profee Billing
- Internal Medicine Physician
- Dothan, AL
- NPI 1285783134
-
dba Southeast Alabama Medical Center Medical Clinics
- Internal Medicine Physician
- Dothan, AL
- NPI 1538597349
-
- Pharmacy
- Dothan, AL
- NPI 1053526368
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Enhabit Home Health
- Home Health Agency
- Dothan, AL
- NPI 1770561268
-
dba Southeast Alabama Medical Center
- General Acute Care Hospital
- Dothan, AL
- NPI 1164403861
-
dba Medical Center Enterprise
- General Acute Care Hospital
- Enterprise, AL
- NPI 1720039712
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1426723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1285028928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 PROFESSIONAL LANE",
"city": "ENTERPRISE",
"state": "AL",
"postal_code": "363302085",
"telephone_number": "334-347-3404",
"fax_number": "334-393-0613"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 PROFESSIONAL LN",
"city": "ENTERPRISE",
"state": "AL",
"postal_code": "363302085",
"telephone_number": "334-347-3404",
"fax_number": "334-393-0613"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNN",
"first_name": "JESSICA",
"middle_name": "JILL",
"credential": "MSN, RN, FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-19",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AL",
"license": "F0713301",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JILL",
"last_name": "DUNN",
"middle_name": "WINDHAM",
"credential": "MSN, RN, FNP-C",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Enterprise, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.