Donna Marie Henderson-Morris, RN
Individual provider Active NPI Registered Nurse · Ravenel, SC
NPI 1285079079 · NPPES record last updated May 7, 2013
Key facts
- NPI
- 1285079079
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- R96442 (SC)
- Practice address
- 5540 Old Jacksonboro Rd
Ravenel, SC 29470-5201 - Phone
- (843) 889-9411
- Fax
- (843) 889-2205
- NPI assigned
- May 7, 2013
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R96442 | SC | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | R96442 | SC | Yes |
Addresses
Primary practice location
5540 Old Jacksonboro Rd
Ravenel, SC 29470-5201
Mailing address
5540 Old Jacksonboro Rd
Ravenel, SC 29470-5201
Phone (843) 889-9411
Other providers in Ravenel, SC
- Sean Britton
- Ashia Brown
- Mary Jane Condell
- Sandra C Crosby
- Fetter Health Care Network, Inc.
- Rebekah Igoe
- Curtis Benjamin Inabinett II
- Life Quality Health Care
- Bianca Lindsay
- Kimberly McNeil
All providers in Ravenel, SC · Registered Nurse in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 7, 2013. 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.