Donna E. Hendley, RN
Individual provider Active NPI Registered Nurse · Millen, GA
NPI 1669555702 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1669555702
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- RN130508 (GA)
- Practice address
- 709 Virginia Avenue
Millen, GA 30442 - Phone
- (478) 982-2811
- Fax
- (478) 982-1589
- NPI assigned
- Oct 23, 2006
- 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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN130508 | GA | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jenkins County Health Department | Past |
Accepting new patients | |
| Jenkins County Health Department | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN130508 | GA | Yes |
Addresses
Primary practice location
709 Virginia Avenue
Millen, GA 30442
Mailing address
PO Box 627
Millen, GA 30442-0627
Phone (478) 982-2811
Other providers in Millen, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.