| Doctor Name: | DONNA JENKINS PAUSE |
| NPI Number: | 1003282120 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP-C |
| License Number: | RN129689 |
| Business Practice Address: | 517 Great Oaks Dr Suite 102 Monroe, GA - 306558211 |
| Business Phone Number: | 7702676565 |
| Business Fax Number: | 7702671524 |
| Mailing Address: | 517 Great Oaks Dr, Suite 102 MONROE |
| State: | GA |
| Postal Code: | 306558211 |
| Phone Number: | 7702676565 |
| Fax Number: | 7702671524 |
| NPI Enumeration Date: | 08/12/2015 |
| NPI Last Update Date: | 02/16/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | RN129689 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |