Provider Demographics
NPI:1245589514
Name:BEARDEN, DONNA KAYE (FNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:DONNA
Middle Name:KAYE
Last Name:BEARDEN
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6734 LEE HWY
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37421-2423
Mailing Address - Country:US
Mailing Address - Phone:423-899-0431
Mailing Address - Fax:423-499-9552
Practice Address - Street 1:6734 LEE HWY
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37421-2423
Practice Address - Country:US
Practice Address - Phone:423-899-0431
Practice Address - Fax:423-499-9552
Is Sole Proprietor?:No
Enumeration Date:2012-09-02
Last Update Date:2020-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN214868363LF0000X
TNAPN0000016848363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily