Provider Demographics
NPI:1982031415
Name:PRATER, DONNA J (APN)
Entity Type:Individual
Prefix:MRS
First Name:DONNA
Middle Name:J
Last Name:PRATER
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:531 HIGHWAY 64 W
Mailing Address - Street 2:
Mailing Address - City:WAYNESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:38485-2355
Mailing Address - Country:US
Mailing Address - Phone:931-253-8146
Mailing Address - Fax:931-253-8023
Practice Address - Street 1:531 HIGHWAY 64 W
Practice Address - Street 2:
Practice Address - City:WAYNESBORO
Practice Address - State:TN
Practice Address - Zip Code:38485-2355
Practice Address - Country:US
Practice Address - Phone:931-253-8146
Practice Address - Fax:931-253-8023
Is Sole Proprietor?:No
Enumeration Date:2013-09-30
Last Update Date:2022-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN17926363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily