Provider Demographics
NPI:1568358810
Name:DUNIVAN, JESSICA RIVERA (MSN, FNP-C)
Entity type:Individual
Prefix:MRS
First Name:JESSICA
Middle Name:RIVERA
Last Name:DUNIVAN
Suffix:
Gender:F
Credentials:MSN, FNP-C
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Mailing Address - Street 1:1326 EISENHOWER DR BLDG 2
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31406-3928
Mailing Address - Country:US
Mailing Address - Phone:912-354-5543
Mailing Address - Fax:912-354-9365
Practice Address - Street 1:1326 EISENHOWER DR BLDG 2
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31406-3928
Practice Address - Country:US
Practice Address - Phone:912-354-5543
Practice Address - Fax:912-354-9365
Is Sole Proprietor?:No
Enumeration Date:2025-06-14
Last Update Date:2025-06-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GARN150767363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner