Individual
MS. VIRGINIA DONELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
877 JEFFERSON AVE, MEMPHIS, TN 38103-2807
(901) 448-5893
(901) 448-5540
Mailing address
877 JEFFERSON AVE, MEMPHIS, TN 38103-2807
(901) 448-5893
(901) 448-5540
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
12163
TN
367500000X
Certified Registered Nurse Anesthetist
74755
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01932053
—
MS
05
—
3636646
—
TN
01
—
4132511
BLUE CROSS BLUE SHIELD OF TN
TN
Enumeration date
05/01/2006
Last updated
05/18/2016
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