DR. SHEREE CONLEY-DONALDSON PHD DNP FNP PMHNP NPI 1649666744

NPI Information

  • NPI: 1649666744
  • Provider Name: DR. SHEREE CONLEY-DONALDSON, PHD, DNP, FNP, PMHNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 100 S 20TH AVE STE A
    HATTIESBURG, MS
    ZIP 39401
  • Phone: (769) 250-8054

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NPI Details

DR. Sheree Conley-donaldson, PHD, DNP, FNP, PMHNP is a family nurse practitioner in Hattiesburg, MS with 10 years of experience. DR. Sheree Conley-donaldson, PHD, DNP, FNP, PMHNP NPI is 1649666744. 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:

100 S 20TH AVE STE A
HATTIESBURG, MS
ZIP 39401-043
Phone: (769) 250-8054

The NPI 1649666744 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/15/2015 and was last updated on 9/19/2024.

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
1363LP0808XNurse PractitionerPsychiatric/Mental HealthR893659MISSISSIPPINo
2363LF0000XNurse PractitionerFamilyR893659MISSISSIPPIYes

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
104959881MEDICAIDMISSISSIPPI

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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