Macdonald, Jennifer C

Macdonald, Jennifer C is an individual health care provider with primary practice located at 2877 Wellness Ave , Orange City FL 32763-8396. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Macdonald, Jennifer C can be contacted via phone (386) 668-4650.

Contact Information

Primary practice address
2877 Wellness Ave Orange City FL 32763-8396
Phone: (386) 668-4650
Fax: (386) 668-4649
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X ARNP2615892 Florida

Profile Details

NPI number 1710974175
LBN Legal business name Macdonald, Jennifer C
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2005
Last updated Nov 28th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710974175 NPPES
Florida MEDICAID 303851700

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