Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Donna Thanh Phan, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1295129732

Donna Thanh Phan, FNP-BC is a Nurse Practitioner in Saint Louis, Missouri. Qualified in 2014, 12 years ago. Practices with SSM Medical Group Inc, a 560-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
12
Licensed in
MO
In the registry since
2015
Specialties on file
2
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

9759 Manchester Rd
Saint Louis, MO 63119-1346
Phone: (636) 669-2219
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5425 Southfield Ctr, Saint Louis, MO 63123-5984 — (314) 543-5258

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 2015009124 (MO)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 2014025348 (MO)

Record details

NPI number1295129732
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedMarch 23, 2015
Last updated in NPPESAugust 21, 2023
Certification dateAugust 21, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Ssm Medical Group Inc — 560 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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