Individual
JUANITA MCDONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3223 SAGE ST, JACKSON, MS 39213-6157
(601) 589-2099
Mailing address
1060 E COUNTY LINE RD STE 3A-323, RIDGELAND, MS 39157-1900
(601) 589-2099
(601) 510-9046
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
904340
MS
Other
Enumeration date
08/29/2018
Last updated
08/29/2018
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