Provider Demographics
NPI:1871943324
Name:STEBBINS, DONNA (AGACNP-BC)
Entity type:Individual
Prefix:
First Name:DONNA
Middle Name:
Last Name:STEBBINS
Suffix:
Gender:F
Credentials:AGACNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:321 N OAK RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:THOMASVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:36784-5837
Mailing Address - Country:US
Mailing Address - Phone:334-830-6047
Mailing Address - Fax:
Practice Address - Street 1:321 N OAK RIDGE DR
Practice Address - Street 2:
Practice Address - City:THOMASVILLE
Practice Address - State:AL
Practice Address - Zip Code:36784-5837
Practice Address - Country:US
Practice Address - Phone:334-830-6047
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-15
Last Update Date:2024-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-069428363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner