Provider Demographics
NPI:1447660527
Name:BALL, DONNA ANN (ARNP)
Entity type:Individual
Prefix:MS
First Name:DONNA
Middle Name:ANN
Last Name:BALL
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:DONNA
Other - Middle Name:ANN
Other - Last Name:BALL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:ARNP
Mailing Address - Street 1:1322 DRUID RD
Mailing Address - Street 2:
Mailing Address - City:MAITLAND
Mailing Address - State:FL
Mailing Address - Zip Code:32751-4204
Mailing Address - Country:US
Mailing Address - Phone:407-462-3918
Mailing Address - Fax:
Practice Address - Street 1:1322 DRUID RD
Practice Address - Street 2:
Practice Address - City:MAITLAND
Practice Address - State:FL
Practice Address - Zip Code:32751-4204
Practice Address - Country:US
Practice Address - Phone:407-462-3918
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-29
Last Update Date:2015-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP 9198176363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner