Provider Demographics
NPI:1205024379
Name:HAMPTON, DONNA NELSON (MSW)
Entity Type:Individual
Prefix:MS
First Name:DONNA
Middle Name:NELSON
Last Name:HAMPTON
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:MS
Other - First Name:DONNA
Other - Middle Name:LYNN
Other - Last Name:NELSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BSW
Mailing Address - Street 1:1450 INDIAN PL
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37129-1025
Mailing Address - Country:US
Mailing Address - Phone:615-896-8154
Mailing Address - Fax:
Practice Address - Street 1:1450 INDIAN PL
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37129-1025
Practice Address - Country:US
Practice Address - Phone:615-896-8154
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-13
Last Update Date:2007-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNCSW00000005861041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical