Donna Davis
Individual provider Active NPI Licensed Practical Nurse · Madison, FL
NPI 1255878633 · NPPES record last updated Jan 24, 2017
Key facts
- NPI
- 1255878633
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- PN1283461 (FL)
- Practice address
- 218 SW Third Ave
Madison, FL 32340-1266 - Phone
- (850) 973-5000
- Fax
- (850) 973-5007
- NPI assigned
- Jan 24, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PN1283461 | FL | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Department of Health | Past | Accepting new patients | |
| Florida Department of Health | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | PN1283461 | FL | Yes |
Addresses
Primary practice location
218 SW Third Ave
Madison, FL 32340-1266
Mailing address
178 SW Allandale TRL
Madison, FL 32340-4413
Phone (850) 967-3500
Other providers in Madison, FL
- Thomas Wayne Conger
- County of Madison Office Clerk Board County Commissioners
- Katelynn Mae Croft
- Crystal Fountain Home Services LLC
- Stacey Daniels
- Hope Davis
- Qarquasia Davis
- Tony Davis
- Joselito Taruc De Leon
- Sisseritta Renee Demps
All providers in Madison, FL · Licensed Practical Nurse in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 24, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.