Individual
KIMBERLY DONELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN089397 AP05554
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1316865
—
LA
01
—
3A776F600
MEDICARE - PTAN
LA
Enumeration date
08/09/2008
Last updated
10/14/2011
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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