Provider Demographics
NPI:1023254919
Name:COMER, DONNA LYNN (CRNP)
Entity type:Individual
Prefix:
First Name:DONNA
Middle Name:LYNN
Last Name:COMER
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:DONNA
Other - Middle Name:LYNN
Other - Last Name:MULLINS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:CRNP
Mailing Address - Street 1:320 CHESTNUT STREET
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35464
Mailing Address - Country:US
Mailing Address - Phone:205-652-4358
Mailing Address - Fax:
Practice Address - Street 1:1007 S MAIN ST
Practice Address - Street 2:
Practice Address - City:LINDEN
Practice Address - State:AL
Practice Address - Zip Code:36748-3149
Practice Address - Country:US
Practice Address - Phone:334-295-4000
Practice Address - Fax:334-295-4008
Is Sole Proprietor?:No
Enumeration Date:2008-12-23
Last Update Date:2008-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-049996163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice