Individual
DONNA L SUBLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
811 E PARRISH AVE, OWENSBORO, KY 42303-3258
(270) 688-3371
(270) 688-3370
Mailing address
811 E PARRISH AVE, OWENSBORO, KY 42303-3258
(270) 688-3371
(270) 688-3370
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3003527
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000586347
BCBS
KY
01
—
000000617707
COOP HEALTH BCBS #
KY
01
—
0992319
MEDICARE
KY
05
—
78006574
—
KY
01
—
P00473272
RR MEDICARE
KY
Enumeration date
08/02/2005
Last updated
01/12/2011
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