Individual
DONNA M LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1924 ALCOA HWY, U109, KNOXVILLE, TN 37920-1511
(865) 544-9220
Mailing address
319 ERIN DR, STE B, KNOXVILLE, TN 37919-6202
(865) 588-0880
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN71153
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
041861
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
041861
CRNA LICENSE
TN
01
—
RN71153
RN LICENSE
TN
Enumeration date
02/08/2006
Last updated
05/04/2010
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