Healthcare Provider Details

I. General information

NPI: 1790836344
Provider Name (Legal Business Name): DONNA KAY AYERS MSN, APRN,BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/12/2007
Last Update Date: 10/23/2023
Certification Date: 10/20/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 S JAMES CAMPBELL BLVD STE 100
COLUMBIA TN
38401
US

IV. Provider business mailing address

341 CREEKSIDE DR
LEWISBURG TN
37091-3587
US

V. Phone/Fax

Practice location:
  • Phone: 931-981-6930
  • Fax:
Mailing address:
  • Phone: 979-482-7401
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number680899
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number680899
License Number StateTX
# 3
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number680899
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: