Provider Demographics
NPI:1801837034
Name:CAMPBELL, DONNA M (CNM, CRNP)
Entity Type:Individual
Prefix:
First Name:DONNA
Middle Name:M
Last Name:CAMPBELL
Suffix:
Gender:F
Credentials:CNM, CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 55310
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35255-5310
Mailing Address - Country:US
Mailing Address - Phone:205-731-9701
Mailing Address - Fax:
Practice Address - Street 1:619 19TH ST S
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35249-1900
Practice Address - Country:US
Practice Address - Phone:205-934-6600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-09
Last Update Date:2023-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-096781363LX0001X
AL1096781363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL051524158OtherBLUE CROSS
AL051524156OtherBLUE CROSS
AL051524917OtherBLUE CROSS
AL051524915OtherBLUE CROSS
AL051524916OtherBLUE CROSS
AL051524155OtherBLUE CROSS
AL051524153OtherBLUE CROSS
AL000095151Medicaid
AL051524157OtherBLUE CROSS
AL051524159OtherBLUE CROSS
AL051524154OtherBLUE CROSS
AL051524159Medicare ID - Type Unspecified