Active NPI
Jennifer Donnan
- Registered Nurse
- Sanford, FL
National Provider Identifier
1962047001
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN9470503
- Practice address
- 3900 E State Road 46
Sanford, FL 32771-9115 - Phone
- (321) 249-9221
- Fax
- (407) 878-0791
- NPI assigned
- Nov 13, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN9470503 | FL | Primary |
Addresses
Primary practice location
3900 E State Road 46
Sanford, FL 32771-9115
Mailing address
3838 N Central Ave Ste 1600
Phoenix, AZ 85012-1950
Phone (800) 354-4881
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN9470503 | FL | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Galileo School Foundation, Inc. | Current | Accepting new patients |
Locations
3838 N Central Ave
Ste 1600
Phoenix, AZ 85012
3900 E State Road 46
Sanford, FL 32771
Phone (321) 249-9221
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Local Education Agency (LEA)
- Sanford, FL
- NPI 1073162020
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1573603200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573603200000",
"number": "1962047001",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3838 N CENTRAL AVE STE 1600",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850121950",
"telephone_number": "800-354-4881",
"fax_number": "602-926-2445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3900 E STATE ROAD 46",
"city": "SANFORD",
"state": "FL",
"postal_code": "327719115",
"telephone_number": "321-249-9221",
"fax_number": "407-878-0791"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DONNAN",
"first_name": "JENNIFER",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-11-13",
"last_updated": "2019-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "FL",
"license": "RN9470503",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sanford, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.