Donna Jewell, PHD, RN, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209014233 Issued in IL

Practice address

331 Logan Dr
O Fallon, IL 62269-7146

Phone

(618) 772-8025

NPI assigned

May 13, 2016

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy, Registered Nurse

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1463097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464739200000",
    "number": "1649626144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 LOGAN DRIVE",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622697146",
            "telephone_number": "618-772-8025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 LOGAN DR",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622697146",
            "telephone_number": "618-772-8025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEWELL",
        "first_name": "DONNA",
        "name_prefix": "Dr.",
        "credential": "PHD, RN, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-13",
        "last_updated": "2016-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209014233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anne Jenkins
• Jacora R Jenkins
• Mackenzie Jerls
• Jason Jerome, PH.D., M.D.
• Crystal S Jesenick, A.N.P.-C
• Stephen J Johans, M.D.
• Chloe Michelle Johansson, RBT
• Kedriunna Kedricka Johnson French
• Phillis Johnson-Haywood, LPC
• Amanda Johnson

• Family Nurse Practitioner in O Fallon, IL
• Providers in O Fallon, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.