Provider Demographics
NPI:1457783185
Name:BARNES, DONNA MARIE (APRN)
Entity type:Individual
Prefix:
First Name:DONNA
Middle Name:MARIE
Last Name:BARNES
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:DONNA
Other - Middle Name:MARIE
Other - Last Name:FECHTMULLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN
Mailing Address - Street 1:551 HERITAGE SQ
Mailing Address - Street 2:
Mailing Address - City:JEFFERSON
Mailing Address - State:OH
Mailing Address - Zip Code:44047-1207
Mailing Address - Country:US
Mailing Address - Phone:904-305-2070
Mailing Address - Fax:
Practice Address - Street 1:551 HERITAGE SQ
Practice Address - Street 2:
Practice Address - City:JEFFERSON
Practice Address - State:OH
Practice Address - Zip Code:44047-1207
Practice Address - Country:US
Practice Address - Phone:904-305-2070
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-05
Last Update Date:2025-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN0019486367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL009602200Medicaid
FL009602200Medicaid