Individual
TYWANA DONALDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
30 MEDICINE CIRCLE, DURHAM, NC 27710-3038
(919) 681-0645
Mailing address
30 MEDICINE CIRCLE, DURHAM, NC 27710-3038
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
579374
NY
363L00000X
Nurse Practitioner
Primary
5012994
NC
Other
Enumeration date
01/12/2019
Last updated
11/08/2023
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