Provider Demographics
NPI:1609233964
Name:EDWARDS, LADONNA (MSN,CRNP)
Entity Type:Individual
Prefix:
First Name:LADONNA
Middle Name:
Last Name:EDWARDS
Suffix:
Gender:F
Credentials:MSN,CRNP
Other - Prefix:
Other - First Name:LADONNA
Other - Middle Name:HIGHTOWER
Other - Last Name:VINSON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MSN,CRNP
Mailing Address - Street 1:1090 SHADES CREST RD
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35226-1906
Mailing Address - Country:US
Mailing Address - Phone:205-212-8215
Mailing Address - Fax:
Practice Address - Street 1:2700 HIGHWAY 280 S STE 212
Practice Address - Street 2:
Practice Address - City:MOUNTAIN BRK
Practice Address - State:AL
Practice Address - Zip Code:35223-2468
Practice Address - Country:US
Practice Address - Phone:205-878-4368
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-01-18
Last Update Date:2020-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1081026363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner