Basic Information
Provider Information
NPI: 1518470590
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BIGGS
FirstName: DONA
MiddleName: MARIA
NamePrefix:  
NameSuffix:  
Credential: APRN FNP-C
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 300 20TH AVE N STE 403
Address2:  
City: NASHVILLE
State: TN
PostalCode: 372032131
CountryCode: US
TelephoneNumber: 6154660041
FaxNumber: 6157583791
Practice Location
Address1: 150 E SWAN ST
Address2:  
City: CENTERVILLE
State: TN
PostalCode: 37033
CountryCode: US
TelephoneNumber: 6154660041
FaxNumber: 6154660042
Other Information
ProviderEnumerationDate: 11/13/2017
LastUpdateDate: 06/29/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363L00000X23529TNN Physician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner 
363LF0000X23529TNY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


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