Individual
DONNA JENELL PEASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP/GNP,BC-ADM,CDE
Contact information
Practice address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(270) 798-8328
(270) 798-8112
Mailing address
407 LAKE POINTE DR, CLARKSVILLE, TN 37043-2877
(931) 801-9166
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
37182
TN
363LG0600X
Gerontology Nurse Practitioner
37182
TN
Other
Enumeration date
10/24/2005
Last updated
01/29/2025
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