Doctor Name: | MS. DONNA ELLZEY DILLON |
NPI Number: | 1497757926 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP, BC, MS |
License Number: | ARNP1727122 |
Business Practice Address: | 12271 Us Highway 301 N Parrish, FL - 342198410 |
Business Phone Number: | 9417764000 |
Business Fax Number: | 9417764013 |
Mailing Address: | Po Box 499, PARRISH |
State: | FL |
Postal Code: | 342190499 |
Phone Number: | 9417764000 |
Fax Number: | 9417764013 |
NPI Enumeration Date: | 08/15/2005 |
NPI Last Update Date: | 02/25/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 364SP0808X |
License Number: | ARNP1727122 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Clinical Nurse Specialist |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |