Provider Demographics
NPI:1528375789
Name:HEATH, DONNA (FNP-BC)
Entity Type:Individual
Prefix:
First Name:DONNA
Middle Name:
Last Name:HEATH
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1940 ALCOA HWY STE E180
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37920-2263
Mailing Address - Country:US
Mailing Address - Phone:865-305-6955
Mailing Address - Fax:865-305-8238
Practice Address - Street 1:1940 ALCOA HWY STE E180
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37920-2263
Practice Address - Country:US
Practice Address - Phone:865-305-6955
Practice Address - Fax:865-305-8238
Is Sole Proprietor?:No
Enumeration Date:2010-09-09
Last Update Date:2010-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN15154363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily