Basic Information
| Provider Information | |||||||||
| NPI: | 1639190101 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | PLUMLEE | ||||||||
| FirstName: | DONNA | ||||||||
| MiddleName: | LEDING | ||||||||
| NamePrefix: | MRS. | ||||||||
| NameSuffix: | |||||||||
| Credential: | CMSW | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1310 24TH AVE S | ||||||||
| Address2: | VAMC-122 | ||||||||
| City: | NASHVILLE | ||||||||
| State: | TN | ||||||||
| PostalCode: | 372122637 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6153275320 | ||||||||
| FaxNumber: | 6153216353 | ||||||||
| Practice Location | |||||||||
| Address1: | 1310 24TH AVE S | ||||||||
| Address2: | VAMC-122 | ||||||||
| City: | NASHVILLE | ||||||||
| State: | TN | ||||||||
| PostalCode: | 372122637 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6153275320 | ||||||||
| FaxNumber: | 6153216353 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/21/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1041C0700X | CSW0000001714 | TN | Y | Behavioral Health & Social Service Providers | Social Worker | Clinical |
No ID Information.