Active NPIIndividual providerSole proprietor

Donnie Gentry Jr., FNP-C

Nurse Practitioner, Family in Ithaca, New York

NPI Number1497107619
Practice location
200 Pleasant Grove RD Ste 200A, Ithaca, NY 14850-2697
Fax
607-228-8534
Last updated
April 5, 2026

Donnie Gentry is a Nurse Practitioner, Family based in Ithaca, NY. Donnie Gentry practices in Ithaca, NY and has the professional credentials of FNP-C. The NPI Number for Donnie Gentry is 1497107619 and holds a License No. 340871 (NY). The current practice location address for Donnie Gentry is 200 Pleasant Grove RD Ste 200A, Ithaca, NY 14850-2697 and can be reached out via phone at 607-299-5929 and via fax at 607-228-8534.

Provider Profile Details

NPI Number
1497107619
Provider Name
Donnie Gentry
Credential
FNP-C
Provider Entity Type
Individual
Gender
Male
Address
200 Pleasant Grove RD Ste 200A, Ithaca, NY 14850-2697
Phone Number
607-299-5929
Fax Number
607-228-8534
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
Yes
Provider Enumeration Date
July 12, 2016
Last Update Date
April 5, 2026
Certification Date
April 5, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
200 Pleasant Grove RD Ste 200A
Ithaca, NY 14850-2697
City
Ithaca
Zip
14850-2697
Phone Number
607-299-5929
Fax Number
607-228-8534
Ithaca, NY 14850Get directions →

Provider Business Mailing Address Details

Address
200 Pleasant Grove RD Ste 200A
Ithaca, NY 14850-2697
City
Ithaca
State
NY
Zip
14850-2697
Phone Number
607-299-5929
Fax Number
607-228-8534

License Information

License Number (1)
340871
License State (1)
NY
Taxonomy (1)
Nurse Practitioner, Family · 363LF0000X · Primary
License Number (2)
340871
License State (2)
NY
Taxonomy (2)
Nurse Practitioner · 363L00000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Donnie Gentry Jr., FNP-C?

The NPI number of Donnie Gentry Jr., FNP-C is 1497107619. It was assigned on July 12, 2016 and is currently active in the NPPES registry.

What is the specialty of Donnie Gentry Jr., FNP-C?

Donnie Gentry Jr., FNP-C is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in NY under license number 340871.

Where does Donnie Gentry Jr., FNP-C practice?

The practice location is 200 Pleasant Grove RD Ste 200A, Ithaca, NY 14850-2697. The office can be reached at 607-299-5929 (phone) or 607-228-8534 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1497107619 directly on the NPPES registry website.

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