Provider Demographics
NPI:1972266070
Name:BLEVINS, DONL F II (DNP, FNP-BC)
Entity Type:Individual
Prefix:DR
First Name:DONL
Middle Name:F
Last Name:BLEVINS
Suffix:II
Gender:M
Credentials:DNP, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:119 WELCH RD STE A
Mailing Address - Street 2:
Mailing Address - City:MOUNT AIRY
Mailing Address - State:NC
Mailing Address - Zip Code:27030-5274
Mailing Address - Country:US
Mailing Address - Phone:336-719-7200
Mailing Address - Fax:336-786-3737
Practice Address - Street 1:119 WELCH RD STE A
Practice Address - Street 2:
Practice Address - City:MOUNT AIRY
Practice Address - State:NC
Practice Address - Zip Code:27030-5274
Practice Address - Country:US
Practice Address - Phone:336-719-7200
Practice Address - Fax:336-786-3737
Is Sole Proprietor?:No
Enumeration Date:2021-10-16
Last Update Date:2023-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC268646163W00000X
NC5015265363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse