Individual
DR. DONNA JEWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, RN, FNP-BC
Contact information
Practice address
331 LOGAN DR, O FALLON, IL 62269-7146
(618) 772-8025
Mailing address
331 LOGAN DRIVE, O FALLON, IL 62269-7146
(618) 772-8025
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209014233
IL
Other
Enumeration date
05/13/2016
Last updated
06/01/2016
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