Provider Demographics
NPI:1740622125
Name:MCCLOUD-DAVIS, DONNA M (FNP-BC)
Entity type:Individual
Prefix:MS
First Name:DONNA
Middle Name:M
Last Name:MCCLOUD-DAVIS
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:MRS
Other - First Name:DONNA
Other - Middle Name:
Other - Last Name:MCCLOUD-FORBES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP-BC
Mailing Address - Street 1:2335 EVERGREEN LN
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30043-3459
Mailing Address - Country:US
Mailing Address - Phone:770-377-0299
Mailing Address - Fax:
Practice Address - Street 1:2900 WESTSIDE PKWY
Practice Address - Street 2:
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30004-7429
Practice Address - Country:US
Practice Address - Phone:678-375-7700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-25
Last Update Date:2025-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN073978363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily