Provider Demographics
NPI:1265196836
Name:WISNIEWSKI, DONNA LYNN (RN)
Entity type:Individual
Prefix:
First Name:DONNA
Middle Name:LYNN
Last Name:WISNIEWSKI
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:805 BRANDYLEIGH CT
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37069-1884
Mailing Address - Country:US
Mailing Address - Phone:414-659-3255
Mailing Address - Fax:
Practice Address - Street 1:805 BRANDYLEIGH CT
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37069-1884
Practice Address - Country:US
Practice Address - Phone:414-659-3255
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-28
Last Update Date:2021-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN210086163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant