Provider Demographics
NPI:1598486482
Name:DONA, AUDREY KATHRYN (MSN, APRN, PMHNP-BC)
Entity Type:Individual
Prefix:
First Name:AUDREY
Middle Name:KATHRYN
Last Name:DONA
Suffix:
Gender:F
Credentials:MSN, APRN, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5418 OTTERS RUN LN
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32258-3436
Mailing Address - Country:US
Mailing Address - Phone:904-945-6641
Mailing Address - Fax:
Practice Address - Street 1:5418 OTTERS RUN LN
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32258-3436
Practice Address - Country:US
Practice Address - Phone:904-945-6641
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-08
Last Update Date:2022-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9407356163WP0808X
FL11022179363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health