Provider Demographics
NPI:1326449729
Name:LAFFERTY, DONNA (CPM)
Entity Type:Individual
Prefix:MRS
First Name:DONNA
Middle Name:
Last Name:LAFFERTY
Suffix:
Gender:F
Credentials:CPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:221 TOBACCOPORT RD
Mailing Address - Street 2:
Mailing Address - City:BUMPUS MILLS
Mailing Address - State:TN
Mailing Address - Zip Code:37028-6058
Mailing Address - Country:US
Mailing Address - Phone:931-232-5909
Mailing Address - Fax:931-232-4211
Practice Address - Street 1:221 TOBACCOPORT RD
Practice Address - Street 2:
Practice Address - City:BUMPUS MILLS
Practice Address - State:TN
Practice Address - Zip Code:37028-6058
Practice Address - Country:US
Practice Address - Phone:931-232-5909
Practice Address - Fax:931-232-4211
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-04
Last Update Date:2014-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN61176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife