Walls, Donnietra La'Verne

Walls, Donnietra La'Verne is an individual health care provider with primary practice located at 1201 E Michigan Ave Ste 240 , Jackson MI 49201-1855. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Walls, Donnietra La'Verne can be contacted via phone (517) 205-1591.

Contact Information

Primary practice address
1201 E Michigan Ave Ste 240 Jackson MI 49201-1855
Phone: (517) 205-1591
Fax: (517) 782-1713
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 2021034592 Michigan

Profile Details

NPI number 1710654744
LBN Legal business name Walls, Donnietra La'Verne
Credentials AGACNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 26th, 2021
Last updated Oct 13th, 2023 - about 3 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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