Provider Demographics
NPI:1073783619
Name:RIBBONS, DONNA MARIE (FNP)
Entity Type:Individual
Prefix:MS
First Name:DONNA
Middle Name:MARIE
Last Name:RIBBONS
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:12017 CORTEZ BLVD
Mailing Address - Street 2:
Mailing Address - City:BROOKSVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:34613-7372
Mailing Address - Country:US
Mailing Address - Phone:352-799-6700
Mailing Address - Fax:352-799-6722
Practice Address - Street 1:12017 CORTEZ BLVD
Practice Address - Street 2:
Practice Address - City:BROOKSVILLE
Practice Address - State:FL
Practice Address - Zip Code:34613-7372
Practice Address - Country:US
Practice Address - Phone:352-799-6700
Practice Address - Fax:352-799-6722
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-11
Last Update Date:2013-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN084772 AP2961363LF0000X
FLARNP 9357717363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily