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NPI Code Detail

MEDICARE: MRS. DONNA KAYE AUSTIN FNP

MEDICARE:  MRS. DONNA KAYE AUSTIN  FNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerAP129704TX
2207Q00000XFamily Medicine PhysicianAP129704TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1871581082
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. DONNA KAYE AUSTIN FNP
Provider Business Mailing Address
First Line : PO BOX 746079
Second Line :
City : ATLANTA
State : GA
Zip : 30374-6079
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8840 BENBROOK BLVD
Second Line : STE 101
City : FORT WORTH
State : TX
Zip : 76126-2173
Country : US
Telephone Number : 817-813-7101
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/11/2005
Last Update Date : 09/01/2023

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Directions to “ MRS. DONNA KAYE AUSTIN FNP” Practice Location

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