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Dustin Larue King, CPNP-AC
Acute Care Nurse Practitioner in Jackson, Mississippi
NPI 1669779021

Dustin Larue King is an Acute Care Nurse Practitioner based in Jackson, MS and is specialized in Acute Care. Dustin Larue King practices in Jackson, MS and has the professional credentials of CPNP-AC. The NPI Number for Dustin Larue King is 1669779021 and holds a License No. R875042 (Mississippi).

The current practice location address for Dustin Larue King is 2500 N State St, Jackson, MS and can be reached out via phone at 601-815-8151 and via fax at 601-815-8152. You can also correspond with Dustin Larue King through the mailing address at 2500 N STATE ST, JACKSON, MS - 39216-4500 (mailing address contact number: 601-815-8151).

Location: 2500 N State St, Jackson, MS, 39216-4500
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Provider Profile Details
NPI Number
1669779021
Provider Name
Dustin Larue King
Credential
CPNP-AC
Provider Entity Type
Individual
Gender
Male
Address
2500 N State St, Jackson, MS, 39216-4500
Phone Number
601-815-8151
Fax Number
601-815-8152
Provider Enumeration Date
02/22/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
302I500886 01 MS MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
2500 N State St
City
State
Zip
39216-4500
Phone Number
601-815-8151
Fax Number
601-815-8152
person
Provider Business Mailing Address Details
Address
2500 N State St
City
State
Zip
39216-4500
Phone Number
601-815-8151
Fax Number
601-815-8152
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Acute Care
Taxonomy
License No.
R875042 (Mississippi)
Definition
Definition to come...
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