National Provider Identifier
Donna Jo Brigham, FNP
Donna Jo Brigham, FNP is listed in the NPPES registry with a primary specialty of Nurse Practitioner in Ithaca, NY and a listed phone number of (607) 257-1107.
Profile Overview
- NPI
- 1508407180
- Provider Type
- Individual
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- October 04, 2019
- Last Updated
- December 07, 2023
Practice Location
- 1051 Craft RD
- Ithaca, NY 14850-1016
Phone: (607) 257-1107
Specialties
- Nurse Practitioner (363L00000X)
Full Record
- NPI
- 1508407180
- Entity Type
- Individual
- Last Name
- Brigham
- First Name
- Donna
- Middle Name
- Jo
- Credential
- FNP
- Provider Other Last Name
- Crowningshield
- Provider Other First Name
- Donna
- Provider Other Middle Name
- Jo
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 1051 Craft RD
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-1016
- Mailing Country
- US
- Mailing Phone
- (607) 257-1107
- Mailing Fax
- (607) 257-0369
- Practice Street Address
- 1051 Craft RD
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-1016
- Practice Country
- US
- Practice Phone
- (607) 257-1107
- Practice Fax
- (607) 257-0369
- Enumeration Date
- October 04, 2019
- Last Updated
- December 07, 2023
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- December 07, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Nurse Practitioner (363L00000X)