Healthcare Provider Details

I. General information

NPI: 1609093806
Provider Name (Legal Business Name): DONNA S. YELVERTON RN, BSN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/19/2007
Last Update Date: 09/13/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

RR 1 BOX 7 410 NORTH WEBSTER STREET
CUTHBERT GA
39840-9704
US

IV. Provider business mailing address

RR 1 BOX 7 410 NORTH WEBSTER STREET
CUTHBERT GA
39840-9704
US

V. Phone/Fax

Practice location:
  • Phone: 229-732-2414
  • Fax: 229-732-5007
Mailing address:
  • Phone: 229-732-2414
  • Fax: 229-732-5007

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC1500X
TaxonomyCommunity Health Registered Nurse
License NumberRN085204
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: