Provider Demographics
NPI:1992784052
Name:HUNTER, DONNA MARIE (RDN)
Entity type:Individual
Prefix:MS
First Name:DONNA
Middle Name:MARIE
Last Name:HUNTER
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:DONNA
Other - Middle Name:MARIE
Other - Last Name:SPORRER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RDN
Mailing Address - Street 1:100 CORNWELL HOLLOW LN
Mailing Address - Street 2:
Mailing Address - City:DIXON SPRINGS
Mailing Address - State:TN
Mailing Address - Zip Code:37057-5512
Mailing Address - Country:US
Mailing Address - Phone:904-316-8287
Mailing Address - Fax:
Practice Address - Street 1:851 S WILLOW AVE STE 108
Practice Address - Street 2:
Practice Address - City:COOKEVILLE
Practice Address - State:TN
Practice Address - Zip Code:38501-4223
Practice Address - Country:US
Practice Address - Phone:904-316-8287
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-01-17
Last Update Date:2023-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL808104133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered