Individual
JACQUELYN DONNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
2714 UNION AVENUE EXT, SUITE 150, MEMPHIS, TN 38112-4431
(901) 725-0872
(901) 278-6934
Mailing address
2714 UNION AVENUE EXT, SUITE 150, MEMPHIS, TN 38112-4431
(901) 725-0872
(901) 278-6934
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
10658
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10350I6318
MEDICARE PTAN
TN
05
—
1512704
—
TN
01
—
4321835
BCBST
TN
Enumeration date
03/23/2007
Last updated
09/14/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us