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Contact Information

DENNIS J JUNG, CNP
2025 GALISTEO ST
SANTA FE, NM87505-2101
 Phone: 505-995-4901
 Fax: 505-989-6426
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for DENNIS J JUNG · (Male)

NPI # 1417925058
Status Active
Credentials CNP (Certified Nurse Practitioner)
Entity Individual
Enumeration date 03/09/2006
Last updated 11/08/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • NM License # RN27843
  • NM Medicaid 98478
  • Other 10009148 LOVELACE
  • Other QMYPR0069326 MOLINA
  • Other 201004971 PRESBYTERIAN HEALTH PLANS
  • Other 2340212 UHC
  • NM Other NM006954 BCBS NM
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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