1306662036 NPI number — MS. DONNA YEVETTE WILLIAMS HUSKEY RN, BS

Table of content: MS. DONNA YEVETTE WILLIAMS HUSKEY RN, BS (NPI 1306662036)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1306662036 NPI number — MS. DONNA YEVETTE WILLIAMS HUSKEY RN, BS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
WILLIAMS HUSKEY
Provider First Name:
DONNA
Provider Middle Name:
YEVETTE
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
RN, BS
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1306662036
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/26/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2315 W 35TH AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PINE BLUFF
Provider Business Mailing Address State Name:
AR
Provider Business Mailing Address Postal Code:
71603-5777
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
870-329-7032
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
10800 FINANCIAL CENTRE PKWY STE 485
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LITTLE ROCK
Provider Business Practice Location Address State Name:
AR
Provider Business Practice Location Address Postal Code:
72211-3539
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
501-255-7375
Provider Business Practice Location Address Fax Number:
866-716-1451
Provider Enumeration Date:
11/26/2024

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 163WH0200X , with the licence number:  R053641 , registered in the state of AR ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com