Healthcare Provider Details

I. General information

NPI: 1124121017
Provider Name (Legal Business Name): DONNA GAIL BURNS RN, MSN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/06/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1310 24TH AVENUE, SOUTH VETERANS ADMINISTERATION MEDICAL CENTER (VAMC)
NASHVILLE TN
37212
US

IV. Provider business mailing address

190 HERITAGE TRACE DR
MADISON TN
37115-5940
US

V. Phone/Fax

Practice location:
  • Phone: 615-327-4751
  • Fax:
Mailing address:
  • Phone: 615-868-5275
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code281P00000X
TaxonomyChronic Disease Hospital
License NumberRN0000069285
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: