Ennis, Donna Shepherd

Ennis, Donna Shepherd is an individual health care provider with primary practice located at 21 W Main Ave , Defuniak Springs FL 32435-2529. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Ennis, Donna Shepherd can be contacted via phone (850) 892-7332.

Contact Information

Primary practice address
21 W Main Ave Defuniak Springs FL 32435-2529
Fax: (850) 892-2405
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X ARNP 9200638 Florida

Profile Details

NPI number 1164625208
LBN Legal business name Ennis, Donna Shepherd
Credentials NURSE PRACTITIONER
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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