Provider Demographics
NPI:1245023787
Name:BURNS, DONNA JACQUELINE
Entity type:Individual
Prefix:
First Name:DONNA
Middle Name:JACQUELINE
Last Name:BURNS
Suffix:
Gender:X
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1429 LEE ST E
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:WV
Mailing Address - Zip Code:25301-1940
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:464 OLD ELK RAILROAD BED RD
Practice Address - Street 2:
Practice Address - City:FRAMETOWN
Practice Address - State:WV
Practice Address - Zip Code:26623-7208
Practice Address - Country:US
Practice Address - Phone:681-238-9617
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-27
Last Update Date:2025-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide