Individual
SALLY E MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
521 N LECANTO HWY, LECANTO, FL 34461-9187
(352) 746-0707
(352) 746-6333
Mailing address
PO BOX 102222, ATLANTA, GA 30368-2222
(239) 274-8200
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APRN9363972
FL
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN9363972
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112073100
—
FL
Enumeration date
11/10/2016
Last updated
04/16/2025
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