Provider Demographics
NPI:1770919995
Name:FORSEE, DONNA MICHELE (PA-C)
Entity type:Individual
Prefix:MRS
First Name:DONNA
Middle Name:MICHELE
Last Name:FORSEE
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:19485 OLD JETTON RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:CORNELIUS
Mailing Address - State:NC
Mailing Address - Zip Code:28031-6582
Mailing Address - Country:US
Mailing Address - Phone:704-384-1775
Mailing Address - Fax:
Practice Address - Street 1:106 CORPORATE PARK DR STE 200&300
Practice Address - Street 2:
Practice Address - City:MOORESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28117-7134
Practice Address - Country:US
Practice Address - Phone:704-235-9090
Practice Address - Fax:704-235-9101
Is Sole Proprietor?:No
Enumeration Date:2013-09-19
Last Update Date:2020-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC0010-04514363AM0700X, 363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical