Provider Demographics
NPI:1700533882
Name:DONHAM, KERIANNE MITCHELL (CRNP)
Entity type:Individual
Prefix:MRS
First Name:KERIANNE
Middle Name:MITCHELL
Last Name:DONHAM
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
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Mailing Address - Street 1:7900 FARM MEADOW DR SE
Mailing Address - Street 2:
Mailing Address - City:OWENS CROSS ROADS
Mailing Address - State:AL
Mailing Address - Zip Code:35763-7216
Mailing Address - Country:US
Mailing Address - Phone:256-694-3370
Mailing Address - Fax:
Practice Address - Street 1:2139 WINCHESTER RD NE STE C
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35811-9804
Practice Address - Country:US
Practice Address - Phone:256-489-9015
Practice Address - Fax:256-489-9023
Is Sole Proprietor?:No
Enumeration Date:2022-03-08
Last Update Date:2023-03-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AL1-62639363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily