Healthcare Provider Details

I. General information

NPI: 1588626295
Provider Name (Legal Business Name): DONNA L. FELKINS-DOHM ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/06/2006
Last Update Date: 05/16/2025
Certification Date: 05/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13170 TAFT ST
BROOKSVILLE FL
34613-4891
US

IV. Provider business mailing address

5616 N BRONCO LN
PRESCOTT VALLEY AZ
86314-5855
US

V. Phone/Fax

Practice location:
  • Phone: 352-842-4232
  • Fax: 928-350-5574
Mailing address:
  • Phone: 352-232-1742
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SP0808X
TaxonomyPsychiatric/Mental Health Clinical Nurse Specialist
License NumberAPRN1440992
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: