Provider Demographics
NPI:1063482875
Name:DOHNANSKY-FRANK, JEANETTE L (WHCNP)
Entity Type:Individual
Prefix:
First Name:JEANETTE
Middle Name:L
Last Name:DOHNANSKY-FRANK
Suffix:
Gender:F
Credentials:WHCNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 E 1ST ST
Mailing Address - Street 2:STE LL
Mailing Address - City:DULUTH
Mailing Address - State:MN
Mailing Address - Zip Code:55805-2297
Mailing Address - Country:US
Mailing Address - Phone:218-249-4700
Mailing Address - Fax:218-722-5148
Practice Address - Street 1:1000 E 1ST ST
Practice Address - Street 2:STE LL
Practice Address - City:DULUTH
Practice Address - State:MN
Practice Address - Zip Code:55805-2297
Practice Address - Country:US
Practice Address - Phone:218-249-4700
Practice Address - Fax:218-722-5148
Is Sole Proprietor?:No
Enumeration Date:2006-01-24
Last Update Date:2021-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNR082268-6363LW0102X, 363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology
No363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
07-00689OtherMEDICA
107975OtherUCARE
MN615S1DOOtherBCBS MN
1017722OtherPREFERRED ONE
HP24239OtherHEALTH PARTNERS
1068175OtherAMERICA'S PPO (ARAZ)
29866OtherSIOUX VALLEY HEALTH PLAN
MN850842900Medicaid
07-00689OtherMEDICA
29866OtherSIOUX VALLEY HEALTH PLAN