Individual provider · Type 1 NPI

Lydia Jane Dungan, CRNP

Acute Care Nurse Practitioner · Jackson, MS

NPI number 1912367939 Active

Practice location

501 Marshall St Ste 104
Jackson, MS 39202-1663

Fax (601) 973-4541

Mailing address

350 N Humphreys Blvd
Memphis, TN 38120-2177

Other practice locations

  • 350 Crossgates Blvd, Brandon, MS 39042-2601 · (601) 825-2811
  • 151 E Metro Dr Ste 202, Flowood, MS 39232-4405 · (601) 969-6404

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner 363LA2100X1-134689 (AL)
Acute Care Nurse Practitioner Primary 363LA2100X905545 (MS)

Acute Care Nurse Practitioner: Definition to come...

26 other providers at this address

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About NPI 1912367939

Lydia Jane Dungan, CRNP's National Provider Identifier is 1912367939, issued on Mar 3, 2016. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Jackson, MS. The record was last updated on Oct 21, 2026.