Provider Demographics
NPI:1467429449
Name:CRESS, DONNA G (ANP)
Entity Type:Individual
Prefix:MRS
First Name:DONNA
Middle Name:G
Last Name:CRESS
Suffix:
Gender:F
Credentials:ANP
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:6701 BAUM DR
Mailing Address - Street 2:SUITE 140
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37919-7360
Mailing Address - Country:US
Mailing Address - Phone:865-584-5727
Mailing Address - Fax:865-450-9904
Practice Address - Street 1:9700 WESTLAND DR
Practice Address - Street 2:SUITE 101
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37922-5294
Practice Address - Country:US
Practice Address - Phone:865-671-3888
Practice Address - Fax:865-671-4911
Is Sole Proprietor?:No
Enumeration Date:2006-03-08
Last Update Date:2011-08-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TNRN77536363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3902539Medicare PIN