Provider Demographics
NPI:1205623725
Name:MCDONALD, DIANA CHERIA (APRN-CNP)
Entity type:Individual
Prefix:MRS
First Name:DIANA
Middle Name:CHERIA
Last Name:MCDONALD
Suffix:
Gender:
Credentials:APRN-CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 CAPITOL MALL # 14
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72201-1019
Mailing Address - Country:US
Mailing Address - Phone:501-683-3586
Mailing Address - Fax:
Practice Address - Street 1:4 CAPITOL MALL # 14
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72201-1019
Practice Address - Country:US
Practice Address - Phone:501-683-3586
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-21
Last Update Date:2025-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR232462363LS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LS0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerSchool