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MRS. KARISSA L DUNNICAN RN
>> Registered Nurse >> Nursing Service ProvidersRegistrant NPI Number: 1942897228
Individual Registrant:MRS. KARISSA L DUNNICAN RN
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
2087 JUNIPER IVES CT GRAYSON, GA 30017-4332 US
Tel: 678-234-8044 Fax: --
Tel: 678-234-8044 Fax: --
Contact information for business:
2087 JUNIPER IVES CT GRAYSON, GA 30017-4332 US
Tel: 678-234-8044 Fax: --
Tel: 678-234-8044 Fax: --
Registration Information:
NPI: 1942897228
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 163W00000X | Nursing Service Providers Registered Nurse | GA | RN294150 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
