Jean Marie Donnay, APRN CNP

Individual provider Active NPI Adult Health Nurse Practitioner · St Joseph, MN

NPI 1952380701 · NPPES record last updated Oct 28, 2015

Key facts

NPI
1952380701
Entity type
Individual (NPI type 1)
Primary specialty
Adult Health Nurse Practitioner 363LA2200X
License
CNP2431 (MN)
Practice address
1360 Elm Street East
Centracare Clinic
St Joseph, MN 56374-4694
Phone
(320) 363-7765
Fax
(320) 363-0031
NPI assigned
Jan 11, 2006
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
CNP2431MNMDAdult Health Nurse Practitioner
R0673592MNMDAdult Health Nurse Practitioner

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X R0673592 MN
Adult Health Nurse Practitioner 363LA2200X CNP2431 MN Yes

Addresses

Primary practice location

1360 Elm Street East
Centracare Clinic
St Joseph, MN 56374-4694

Mailing address

1360 Elm Street East
Centracare Clinic
St Joseph, MN 56374-4694
Phone (320) 363-7765

Other identifiers

IdentifierTypeStateIssuer
163042300MedicaidMN

Other names

  • Jean Donnay Professional name

Other providers in St Joseph, MN

All providers in St Joseph, MN · Adult Health Nurse Practitioner in Minnesota

Sources for this page

Verify at the official NPI Registry.