Healthcare Provider Details

I. General information

NPI: 1790246742
Provider Name (Legal Business Name): LADONNA MICHELLE TOMPKINS RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/30/2019
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6665 MANCHESTER RD
NEW FRANKLIN OH
44216-9464
US

IV. Provider business mailing address

6665 MANCHESTER RD
NEW FRANKLIN OH
44216-9464
US

V. Phone/Fax

Practice location:
  • Phone: 330-329-0913
  • Fax:
Mailing address:
  • Phone: 330-391-6284
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License NumberLPN.103346.MEDS
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN.561274
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: