Provider Demographics
NPI:1699797100
Name:PIERCE, DONNA SNYDER (RD PHD)
Entity type:Individual
Prefix:
First Name:DONNA
Middle Name:SNYDER
Last Name:PIERCE
Suffix:
Gender:F
Credentials:RD PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10036 NORTHSHORE DRIVE
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37922-5770
Mailing Address - Country:US
Mailing Address - Phone:865-675-3075
Mailing Address - Fax:
Practice Address - Street 1:224 S PETERS ROAD
Practice Address - Street 2:SUITE 105
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37923-5231
Practice Address - Country:US
Practice Address - Phone:865-693-5016
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNLDN0000000065133NN1002X, 133V00000X, 207QS0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education
Not Answered133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Not Answered207QS0010XAllopathic & Osteopathic PhysiciansFamily MedicineSports Medicine