Individual provider · Type 1 NPI

Kimberly Donelson, CPNP

Pediatric Nurse Practitioner · Shreveport, LA

NPI number 1750537767 Active

Practice location

1501 Kings Hwy, Department Of Pediatrics
Shreveport, LA 71103-4228

Fax (318) 675-8832

Mailing address

1512 W Kirby Pl
Shreveport, LA 71103-3822

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200XRN089397 AP05554 (LA)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1750537767

Kimberly Donelson, CPNP's National Provider Identifier is 1750537767, issued on Aug 9, 2008. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Shreveport, LA. The record was last updated on Oct 14, 2011.