JACQUELYN DONNELLY ACNP NPI 1528185568

NPI Information

  • NPI: 1528185568
  • Provider Name: JACQUELYN DONNELLY, ACNP
  • Classification: Clinical Nurse Specialist - 364S00000X
  • Entity Type: Individual
  • Address: 2714 UNION AVENUE EXT
    SUITE 150
    MEMPHIS, TN
    ZIP 38112
  • Phone: (901) 725-0872

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NPI Details

Jacquelyn Donnelly, ACNP is a clinical nurse specialist in Memphis, TN. The provider is a registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration. Jacquelyn Donnelly, ACNP NPI is 1528185568. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2714 UNION AVENUE EXT
SUITE 150
MEMPHIS, TN
ZIP 38112-431
Phone: (901) 725-0872
Fax: (901) 278-6934

The enumeration date for this NPI number is 3/23/2007 and was last updated on 9/14/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1364S00000XClinical Nurse Specialist10658TENNESSEEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
14321835OTHERTENNESSEEBCBST
21512704MEDICAIDTENNESSEE
310350I6318OTHERTENNESSEEMEDICARE PTAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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