Provider Demographics
NPI:1245394428
Name:SINCLAIR, DONNA P (APN)
Entity type:Individual
Prefix:MS
First Name:DONNA
Middle Name:P
Last Name:SINCLAIR
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 1:115 CLIFTY VILLAGE LN
Mailing Address - Street 2:
Mailing Address - City:PARIS
Mailing Address - State:TN
Mailing Address - Zip Code:38242-9177
Mailing Address - Country:US
Mailing Address - Phone:731-363-8103
Mailing Address - Fax:731-642-8865
Practice Address - Street 1:115 CLIFTY VILLAGE LN
Practice Address - Street 2:
Practice Address - City:PARIS
Practice Address - State:TN
Practice Address - Zip Code:38242-9177
Practice Address - Country:US
Practice Address - Phone:731-363-8103
Practice Address - Fax:731-642-8865
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-21
Last Update Date:2017-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNTN5354364SA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SA2200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistAdult Health