DONICA LONG (NPI# 1710498746) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710498746 |
| Entity Type | Individual |
| Full Name | DONICA LONG |
| Other Name | DONICA DAVIA |
| Credential | FNP |
| Practice Address |
12 E. Brunswick St Byhalia MS 38611 |
| Practice Telephone | 6628382163 |
| Enumeration Date | 2017-10-17 |
| Last Update Date | 2018-01-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
902328 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | PENDING | 05 |
| Street Address |
12 E. BRUNSWICK ST |
| City | BYHALIA |
| State | MS |
| Zip Code | 38611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407101256 | Reach Adult Recreation Service, LLC | Day Training, Developmentally Disabled Services | 73 Chase Street, Byhalia, MS 38611 | 2012-07-18 |
| 1720369861 | Freds Stores of Tennessee Inc | Pharmacy | 15 East Stonewall Rd., Byhalia, MS 38611 | 2011-09-02 |
| 1821397944 | Shepherds | Durable Medical Equipment & Medical Supplies | 4379 Cayce Rd, Byhalia, MS 38611 | 2011-03-16 |
| 1134352172 | Yvonne Ingram Burns | Speech-Language Pathologist | 4212 Highway 309 S, Byhalia, MS 38611 | 2009-08-25 |
| 1407043987 | Chauntay Yvette Bradley | Family Medicine | 12 E Brunswick St, Byhalia, MS 38611 | 2007-09-28 |
| 1548300296 | North Mississippi Foot Specialists PC | Durable Medical Equipment & Medical Supplies | 2922 Church St, Byhalia, MS 38611 | 2007-02-08 |
| 1558410738 | Northeast Mississippi Health Care, Inc. | Clinic/Center | 12 East Brunswick Ave., Byhalia, MS 38611 | 2007-01-09 |
| 1982796546 | Byhalia Drug | Pharmacy | 2438 Church St, Byhalia, MS 38611 | 2006-09-29 |
| 1679577555 | Kathryn Claire Pruitt | Nurse Practitioner | 111 Chase St, Byhalia, MS 38611 | 2005-06-09 |
| 1700274016 | Chrystal Williams-davis | Nurse Practitioner | 12 E Brunswick St, Byhalia, MS 38611 | 2015-01-08 |
| Find all providers in zip 38611 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285233452 | Darlene Johnson | Nurse Practitioner | 2808 Allyson Gene Cv, Byhalia, MS 38611-7359 | 2020-10-20 |
| 1659769065 | Joseph Tubbs | Nurse Practitioner | 131 Highway 309 S, Byhalia, MS 38611-9633 | 2015-01-07 |
| 1871555011 | Christina Cox Joyner | Nurse Practitioner | 2422 Church St, 2422 Church Street, Byhalia, MS 38611-9552 | 2006-04-04 |
| 1679577555 | Kathryn Claire Pruitt | Nurse Practitioner | 111 Chase St, Byhalia, MS 38611 | 2005-06-09 |
| 1306491758 | Ashley M Johnson | Nurse Practitioner | 12 Brunswick St, Byhalia, MS 38611-7000 | 2019-08-02 |
| 1033648803 | Nikisha Newsom | Nurse Practitioner | 12 Brunswick St, Byhalia, MS 38611-7000 | 2017-06-06 |
| 1700274016 | Chrystal Williams-davis | Nurse Practitioner | 12 E Brunswick St, Byhalia, MS 38611 | 2015-01-08 |
| 1558761668 | Chassity W Greer | Nurse Practitioner | 12 Brunswick St, Byhalia, MS 38611-7000 | 2014-08-26 |
| 1841560927 | Ellouise Marie Knox | Nurse Practitioner | 12 E Brunswick St, Byhalia, MS 38611 | 2012-01-06 |
| 1720251754 | Delores Roberson | Nurse Practitioner | 12 East Brunswick, Byhalia, MS 38611 | 2008-04-10 |
| Find all providers in BYHALIA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.