Healthcare Provider Details

I. General information

NPI: 1821506189
Provider Name (Legal Business Name): ASHLEY REA DONAHUE FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/19/2018
Last Update Date: 06/28/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 COUNTY SERVICES DR
PELHAM AL
35124-6149
US

IV. Provider business mailing address

201 MONROE ST STE 1350
MONTGOMERY AL
36104-3773
US

V. Phone/Fax

Practice location:
  • Phone: 205-664-2470
  • Fax: 205-664-4148
Mailing address:
  • Phone: 334-206-5675
  • Fax: 334-206-3998

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF06172326
License Number StateAL
# 2
Primary TaxonomyN
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License Number1-134459
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: