Individual provider · Type 1 NPI
Inna Donovan, AGNP
Gerontology Nurse Practitioner · Dallas, TX
NPI number
1649636374
Active
Practice location
5200 Harry Hines Blvd
Dallas, TX 75235-7709
Mailing address
1101 Pawnee Ct
Carrollton, TX 75007-6231
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | AP129458 (TX) |
| Gerontology Nurse Practitioner Primary | 363LG0600X | AP129458 (TX) |
Gerontology Nurse Practitioner: Definition to come...
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About NPI 1649636374
Inna Donovan, AGNP's National Provider Identifier is 1649636374, issued on Jan 11, 2016. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Dallas, TX. The record was last updated on Mar 7, 2022.