Provider Demographics
NPI:1104962406
Name:DONALDSON, SARA LYNN (RN RNP)
Entity type:Individual
Prefix:MRS
First Name:SARA
Middle Name:LYNN
Last Name:DONALDSON
Suffix:
Gender:F
Credentials:RN RNP
Other - Prefix:
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Mailing Address - Street 1:1712 GEORGETOWN CIRCLE
Mailing Address - Street 2:
Mailing Address - City:PARAGOULD
Mailing Address - State:AR
Mailing Address - Zip Code:72450
Mailing Address - Country:US
Mailing Address - Phone:870-239-3111
Mailing Address - Fax:870-239-6329
Practice Address - Street 1:801 GOLDSMITH ROAD
Practice Address - Street 2:GREENE COUNTY HEALTH DEPT
Practice Address - City:PARAGOULD
Practice Address - State:AR
Practice Address - Zip Code:72450
Practice Address - Country:US
Practice Address - Phone:870-236-7782
Practice Address - Fax:870-239-6329
Is Sole Proprietor?:No
Enumeration Date:2007-01-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ARR13348163W00000X
ARP00208363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered163W00000XNursing Service ProvidersRegistered Nurse
Not Answered363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner