Healthcare Provider Details

I. General information

NPI: 1356303887
Provider Name (Legal Business Name): DONNA ALLEN CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/03/2006
Last Update Date: 11/09/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 OLD HIGHWAY 25 E
COLUMBIANA AL
35051-9373
US

IV. Provider business mailing address

320 GROVE HILL LN
ALABASTER AL
35007-7731
US

V. Phone/Fax

Practice location:
  • Phone: 205-669-4884
  • Fax: 205-669-4883
Mailing address:
  • Phone: 205-621-0530
  • Fax: 205-669-4883

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1-049822
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: