Provider Demographics
NPI:1609093806
Name:YELVERTON, DONNA S (RN, BSN)
Entity Type:Individual
Prefix:
First Name:DONNA
Middle Name:S
Last Name:YELVERTON
Suffix:
Gender:F
Credentials:RN, BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:RR 1 BOX 7
Mailing Address - Street 2:410 NORTH WEBSTER STREET
Mailing Address - City:CUTHBERT
Mailing Address - State:GA
Mailing Address - Zip Code:39840-9704
Mailing Address - Country:US
Mailing Address - Phone:229-732-2414
Mailing Address - Fax:229-732-5007
Practice Address - Street 1:RR 1 BOX 7
Practice Address - Street 2:410 NORTH WEBSTER STREET
Practice Address - City:CUTHBERT
Practice Address - State:GA
Practice Address - Zip Code:39840-9704
Practice Address - Country:US
Practice Address - Phone:229-732-2414
Practice Address - Fax:229-732-5007
Is Sole Proprietor?:No
Enumeration Date:2007-04-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN085204163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health