Provider Demographics
NPI:1881123388
Name:WELCH, DONNA LEIGH (FNP-C)
Entity type:Individual
Prefix:MRS
First Name:DONNA
Middle Name:LEIGH
Last Name:WELCH
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:609 MCFARLAND ST
Mailing Address - Street 2:
Mailing Address - City:MORRISTOWN
Mailing Address - State:TN
Mailing Address - Zip Code:37814-3976
Mailing Address - Country:US
Mailing Address - Phone:423-714-0714
Mailing Address - Fax:423-587-3799
Practice Address - Street 1:609 MCFARLAND ST
Practice Address - Street 2:
Practice Address - City:MORRISTOWN
Practice Address - State:TN
Practice Address - Zip Code:37814-3976
Practice Address - Country:US
Practice Address - Phone:423-714-0714
Practice Address - Fax:423-587-3799
Is Sole Proprietor?:No
Enumeration Date:2017-06-08
Last Update Date:2023-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN23122363L00000X, 363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner