Healthcare Provider Details

I. General information

NPI: 1891799730
Provider Name (Legal Business Name): DONNA J. EVE APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/09/2005
Last Update Date: 05/21/2025
Certification Date: 05/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1461 N GARDNER ST
SCOTTSBURG IN
47170-7751
US

IV. Provider business mailing address

PO BOX 776351
CHICAGO IL
60677-6351
US

V. Phone/Fax

Practice location:
  • Phone: 502-446-5555
  • Fax: 502-584-5889
Mailing address:
  • Phone: 502-588-9490
  • Fax: 502-272-5116

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number71000808A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: