Provider Demographics
NPI:1346587235
Name:DONELSON, NANCY (FNP)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:
Last Name:DONELSON
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3604 HOBBS RD
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37215-2329
Mailing Address - Country:US
Mailing Address - Phone:615-383-4382
Mailing Address - Fax:
Practice Address - Street 1:2560 S OCEAN BLVD
Practice Address - Street 2:418
Practice Address - City:PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33480-5469
Practice Address - Country:US
Practice Address - Phone:615-400-1633
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-01-11
Last Update Date:2013-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP3272282363LF0000X
TN06586363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily