Provider Demographics
NPI:1184402521
Name:SWEAT, DONNA GREENE (FNP-C)
Entity type:Individual
Prefix:
First Name:DONNA
Middle Name:GREENE
Last Name:SWEAT
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:125 WOOD LAKE DR UNIT 107
Mailing Address - Street 2:
Mailing Address - City:ATHENS
Mailing Address - State:GA
Mailing Address - Zip Code:30606-8354
Mailing Address - Country:US
Mailing Address - Phone:706-273-8704
Mailing Address - Fax:
Practice Address - Street 1:180 EPPS BRIDGE RD
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:GA
Practice Address - Zip Code:30606-3312
Practice Address - Country:US
Practice Address - Phone:706-549-5382
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-18
Last Update Date:2023-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN239832363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily