Provider Demographics
NPI:1871506907
Name:DEMPSEY, DONNA KAY (MS, APRN)
Entity Type:Individual
Prefix:
First Name:DONNA
Middle Name:KAY
Last Name:DEMPSEY
Suffix:
Gender:F
Credentials:MS, APRN
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 55942
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33732-5942
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:727-954-4912
Practice Address - Street 1:710 94TH AVE N STE 305
Practice Address - Street 2:
Practice Address - City:SAINT PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33702-2452
Practice Address - Country:US
Practice Address - Phone:727-914-9188
Practice Address - Fax:727-954-4912
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-13
Last Update Date:2023-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1533432363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL300280200Medicaid
S70844Medicare UPIN
FLS70844Medicare UPIN
FL300280200Medicaid