DONNA L WADE
NPI 1245103431
Assisted Living Facility - Assisted Living, Mental Illness in Jackson, TN

Active since September 25, 2025
620 OLD HICKORY BLVD STE 410D, JACKSON, TN 38305(731) 394-2886 Get Directions Write a Review

NPPES record last updated: September 25, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Donna L Wade NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DONNA L WADE (NPI 1245103431) is an individual assisted living, mental illness provider in Jackson, Tennessee, licensed in Tennessee (1000000038962) and active in the NPI registry since September 2025.

NPPES Registry Identity

NPI1245103431
Entity TypeIndividualFemale
Primary Taxonomy3104A0625X
Provider Legal NameDONNA L WADE
Location Address620 OLD HICKORY BLVD STE 410DJackson, TN 38305-2904
Mailing Address106 Landmark LoopJackson, TN 38305-2133 · (731) 394-2886
Sole ProprietorYes
Enumeration DateSeptember 25, 2025
NPPES CertifiedSeptember 24, 2025
NPI 1245103431 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAssisted Living Facility · Assisted Living, Mental IllnessNursing & Custodial Care Facilities
Taxonomy Code3104A0625X
License Licensed in TN · 1000000038962
Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.

620 OLD HICKORY BLVD STE 410D, Jackson, TN 38305

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Assisted Living Facility (Assisted Living, Mental Illness)
620 OLD HICKORY BLVD STE 410D
JACKSON, TN 38305

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Donna Wade's NPI number?

The NPI number for Donna Wade is 1245103431. It was assigned to this individual provider in the NPPES registry on September 25, 2025.

Where is Donna Wade located?

Donna Wade practices at 620 Old Hickory Blvd Ste 410D, Jackson, TN 38305. The listed phone number is (731) 394-2886.

What is Donna Wade's specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Mental Illness, with taxonomy code 3104A0625X.

When was this NPI record last updated?

The NPPES record for Donna Wade was last updated on September 25, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.