NPIMap

Individual provider Active NPI

Jennifer Lynn Dunham, NP

  • Nurse Practitioner
  • Charlotte, NC
National Provider Identifier
1821338443
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5010400 Issued in NC
Practice address
7920 Moores Chapel Rd
Charlotte, NC 28214-8923
Phone
(704) 926-7800
Fax
(704) 926-7806
NPI assigned
Feb 19, 2013
Last updated
Sep 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5010400 NC Primary
Family Nurse Practitioner 363LF0000X 5010400 NC

Addresses

Primary practice location

7920 Moores Chapel Rd
Charlotte, NC 28214-8923

Mailing address

PO Box 60447
Charlotte, NC 28260-0447
Phone (704) 316-2050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180801003619 NC Practitioner - Nurse Practitioner 7719235167 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwest Family Physicians PAGroup PAC ID 9436133972, 4 clinicians

Practice addresses (Care Compare)

7920 Moores Chapel Rd
Charlotte, NC 28214-9453
Phone (704) 926-7800

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5010400NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Family Physicians, P.a. CurrentSince Oct 30, 2023 Accepting new patients
Lake Norman Pulmonary & Sleep, PA CurrentSince Jan 4, 2021 Accepting new patients
Novant Health Medical Group, LLC Past Accepting new patients

Locations

7920 Moores Chapel Rd
Charlotte, NC 28214
Phone (704) 926-7800

123 Professional Park Dr
Ste 200
Mooresville, NC 28117
Phone (423) 343-7016

Organizations & group practices 3

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1361232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757462400000",
    "number": "1821338443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447",
            "telephone_number": "704-316-2050",
            "fax_number": "704-316-2051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7920 MOORES CHAPEL RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282148923",
            "telephone_number": "704-926-7800",
            "fax_number": "704-926-7806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNHAM",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-19",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5010400",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5010400",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.