Individual provider · Type 1 NPI

Donna Marie Avery, NP

Family Nurse Practitioner · East St. Louis, IL

NPI number 1114446515 Active

Practice location

2420 State St
East St. Louis, IL 62205-2321

Fax (618) 615-4205

Mailing address

PO Box 746715
Atlanta, GA 30374-6715

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X209016129 (IL)

Family Nurse Practitioner: Definition to come...

6 other providers at this address

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About NPI 1114446515

Donna Marie Avery, NP's National Provider Identifier is 1114446515, issued on Sep 17, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in East St. Louis, IL. The record was last updated on Mar 26, 2026.