Casada, Donna Jean

Casada, Donna Jean is an individual health care provider with primary practice located at 2355 Poplar Level Rd Ste G1-11 , Louisville KY 40217-1367. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Casada, Donna Jean can be contacted via phone (502) 636-8121.

Contact Information

Primary practice address
2355 Poplar Level Rd Ste G1-11 Louisville KY 40217-1367
Phone: (502) 636-8121
Fax: (502) 636-8128
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 3002288 Kentucky

Profile Details

NPI number 1225035298
LBN Legal business name Casada, Donna Jean
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2005
Last updated Oct 13th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225035298 NPPES
Kentucky MEDICAID 78022886

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