Provider Demographics
NPI:1982889341
Name:DONNA K DEMPSEY ARNP PA
Entity type:Organization
Organization Name:DONNA K DEMPSEY ARNP PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:DEMPSEY
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:727-914-9188
Mailing Address - Street 1:PO BOX 55942
Mailing Address - Street 2:
Mailing Address - City:SAINT PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33732-5942
Mailing Address - Country:US
Mailing Address - Phone:727-914-9188
Mailing Address - Fax:727-954-4912
Practice Address - Street 1:2931 1ST AVE S
Practice Address - Street 2:
Practice Address - City:SAINT PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33712-1008
Practice Address - Country:US
Practice Address - Phone:727-914-9188
Practice Address - Fax:727-954-4912
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-04
Last Update Date:2020-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL300280200Medicaid
FLY7128OtherBLUE CROSS BLUE SHIELD
FLS70844Medicare UPIN