Provider Demographics
NPI:1841263894
Name:GILL, DONNA F (DNP, FNP-C)
Entity type:Individual
Prefix:DR
First Name:DONNA
Middle Name:F
Last Name:GILL
Suffix:
Gender:F
Credentials:DNP, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:68 LONGVIEW WAY N
Mailing Address - Street 2:
Mailing Address - City:PALM COAST
Mailing Address - State:FL
Mailing Address - Zip Code:32137-4566
Mailing Address - Country:US
Mailing Address - Phone:843-708-0185
Mailing Address - Fax:
Practice Address - Street 1:68 LONGVIEW WAY N
Practice Address - Street 2:
Practice Address - City:PALM COAST
Practice Address - State:FL
Practice Address - Zip Code:32137-4566
Practice Address - Country:US
Practice Address - Phone:843-708-0185
Practice Address - Fax:888-389-9894
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-09
Last Update Date:2019-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAPN0000025021363LF0000X
FLARNP9454264363LF0000X
COC-APN0000963363LF0000X
MN4284363LF0000X
OKR0119577363LF0000X
IL209017416363LF0000X
SC17568363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7000238Medicaid
NC7000238Medicaid
SCAA91667498Medicare PIN