Mcdonald, Jennifer P

Mcdonald, Jennifer P is an individual health care provider with primary practice located at 625 N Plaza Dr , Apache Junction AZ 85120-5501. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Mcdonald, Jennifer P can be contacted via phone (480) 983-0065.

Contact Information

Primary practice address
625 N Plaza Dr Apache Junction AZ 85120-5501
Fax: (480) 288-5339
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 6103 Arizona

Profile Details

NPI number 1144605171
LBN Legal business name Mcdonald, Jennifer P
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2015
Last updated Apr 25th, 2017 - about 7 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 1144605171 NPPES
Arizona MEDICAID PENDING

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