Provider Demographics
NPI:1083387823
Name:CRISP, DONNA HELEN (RN, MSN, APRN)
Entity Type:Individual
Prefix:MS
First Name:DONNA HELEN
Middle Name:
Last Name:CRISP
Suffix:
Gender:F
Credentials:RN, MSN, APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1426 DUPLIN RD
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27607-3723
Mailing Address - Country:US
Mailing Address - Phone:919-909-6161
Mailing Address - Fax:
Practice Address - Street 1:1426 DUPLIN RD
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27607-3723
Practice Address - Country:US
Practice Address - Phone:919-909-6161
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-28
Last Update Date:2021-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC121550163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health