Provider Demographics
NPI:1952679540
Name:STAFFORD-DONAWAY, JAIMIE (APRN, CRNP)
Entity Type:Individual
Prefix:MRS
First Name:JAIMIE
Middle Name:
Last Name:STAFFORD-DONAWAY
Suffix:
Gender:F
Credentials:APRN, CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23554 CANOE CT
Mailing Address - Street 2:
Mailing Address - City:LEWES
Mailing Address - State:DE
Mailing Address - Zip Code:19958-5443
Mailing Address - Country:US
Mailing Address - Phone:631-276-9930
Mailing Address - Fax:
Practice Address - Street 1:1420B MCKEE RD
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:DE
Practice Address - Zip Code:19904-1378
Practice Address - Country:US
Practice Address - Phone:302-257-5818
Practice Address - Fax:302-672-0641
Is Sole Proprietor?:No
Enumeration Date:2011-12-09
Last Update Date:2019-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEL80000118363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health