Individual
MR. PAUL MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
104 W MAIN ST, HENDERSON, TN 38340-2212
(731) 616-5175
Mailing address
280 BRAY LN, BEECH BLUFF, TN 38313-1822
(731) 616-5175
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
1-114040
AL
363LA2100X
Acute Care Nurse Practitioner
Primary
30017
TN
363LA2100X
Acute Care Nurse Practitioner
9296521
FL
Other
Enumeration date
05/28/2014
Last updated
05/29/2025
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