Individual
SHAVON C DONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
8320 MADISON AVE, INDIANAPOLIS, IN 46227-6066
(317) 888-8642
Mailing address
322 GREEN MEADOW DR, INDIANAPOLIS, IN 46229-3518
(812) 552-6870
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
28184845A
IN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
28184845A
IN
Other
Enumeration date
06/30/2014
Last updated
02/05/2025
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