Provider Demographics
NPI:1356303887
Name:ALLEN, DONNA (CRNP)
Entity Type:Individual
Prefix:
First Name:DONNA
Middle Name:
Last Name:ALLEN
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:320 GROVE HILL LN
Mailing Address - Street 2:
Mailing Address - City:ALABASTER
Mailing Address - State:AL
Mailing Address - Zip Code:35007-7731
Mailing Address - Country:US
Mailing Address - Phone:205-621-0530
Mailing Address - Fax:205-669-4883
Practice Address - Street 1:201 OLD HIGHWAY 25 E
Practice Address - Street 2:
Practice Address - City:COLUMBIANA
Practice Address - State:AL
Practice Address - Zip Code:35051-9373
Practice Address - Country:US
Practice Address - Phone:205-669-4884
Practice Address - Fax:205-669-4883
Is Sole Proprietor?:No
Enumeration Date:2006-04-03
Last Update Date:2012-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-049822363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL1-049822OtherBOARD OF NURSING