National Provider Identifier

Donnie Gentry Jr., FNP-C

Donnie Gentry Jr., FNP-C is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner in Ithaca, NY and a listed phone number of (607) 299-5929.

NPI 1497107619Ithaca, NYFamily Nurse Practitioner

Profile Overview

NPI
1497107619
Provider Type
Individual
Primary Specialty
Family Nurse Practitioner
Enumeration Date
July 12, 2016
Last Updated
March 05, 2026

Practice Location

  • 200 Pleasant Grove RD Ste 200A
  • Ithaca, NY 14850-2697

Phone: (607) 299-5929

Specialties

  • Family Nurse Practitioner (363LF0000X)
  • Nurse Practitioner (363L00000X)
Full Record
NPI
1497107619
Entity Type
Individual
Last Name
Gentry
First Name
Donnie
Name Suffix
Jr.
Credential
FNP-C
Mailing Street Address
200 Pleasant Grove RD Ste 200A
Mailing City
Ithaca
Mailing State
NY
Mailing ZIP Code
14850-2697
Mailing Country
US
Mailing Phone
(607) 299-5929
Mailing Fax
(607) 228-8534
Practice Street Address
200 Pleasant Grove RD Ste 200A
Practice City
Ithaca
Practice State
NY
Practice ZIP Code
14850-2697
Practice Country
US
Practice Phone
(607) 299-5929
Practice Fax
(607) 228-8534
Enumeration Date
July 12, 2016
Last Updated
March 05, 2026
Sex
Male
Sole Proprietor
Yes
Certification Date
March 05, 2026
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Family Nurse Practitioner (363LF0000X), Nurse Practitioner (363L00000X)