Vickers, Donna

Vickers, Donna is an individual health care provider with primary practice located at 100 Mimosa Dr , Thomasville GA 31792-6676. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Vickers, Donna can be contacted via phone (229) 228-2834.

Contact Information

Primary practice address
100 Mimosa Dr Thomasville GA 31792-6676
Phone: (229) 228-2834
Fax: (229) 551-8799
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN122291 Georgia

Profile Details

NPI number 1881907731
LBN Legal business name Vickers, Donna
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2010
Last updated Jun 25th, 2015 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1881907731 NPPES
Georgia Other RN122291 STATE LICENSE

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