Individual
JONELLE K MCDONNELL
Active
Individual
JONELLE K MCDONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
ME104122
FL
207N00000X
Dermatology Physician
Primary
35058227M
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
145A6
BCBS PERSONAL PROVIDER NUMBER
FL
01
—
ME104122
MEDICAL LICENSE FLORIDA
FL
Enumeration date
06/29/2006
Last updated
10/24/2024
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