Provider Demographics
NPI:1386843548
Name:ALLEN-PEEBLES, DONNA BERNICE (NP)
Entity Type:Individual
Prefix:
First Name:DONNA
Middle Name:BERNICE
Last Name:ALLEN-PEEBLES
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:856 J CLYDE MORRIS BLVD
Mailing Address - Street 2:SUITE A
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23601-1318
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2112 HARTFORD RD STE B
Practice Address - Street 2:
Practice Address - City:HAMPTON
Practice Address - State:VA
Practice Address - Zip Code:23666-6601
Practice Address - Country:US
Practice Address - Phone:757-827-7754
Practice Address - Fax:757-827-0995
Is Sole Proprietor?:No
Enumeration Date:2007-07-17
Last Update Date:2014-06-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0024167427363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily