Individual provider · Type 1 NPI
Donnie Gentry Jr., FNP-C
Family Nurse Practitioner · Ithaca, NY
NPI number
1497107619
Active
Practice location
200 Pleasant Grove Rd Ste 200A
Ithaca, NY 14850-2697
Fax (607) 228-8534
Other practice locations
- 535 5th Ave Fl 4, New York, NY 10017-8020 · (877) 399-3371
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 340871 (NY) |
| Nurse Practitioner | 363L00000X | 340871 (NY) |
Family Nurse Practitioner: Definition to come...
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About NPI 1497107619
Donnie Gentry Jr., FNP-C's National Provider Identifier is 1497107619, issued on Jul 12, 2016. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Ithaca, NY. The record was last updated on Apr 5, 2026.