Individual
LISA JENNINGS MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
3400 WAKE FOREST RD, RALEIGH, NC 27609-7317
(919) 954-3279
Mailing address
3400 WAKE FOREST RD, ATTN: ICU, LISA JENNINGS MCDONALD, RALEIGH, NC 27609-7317
(919) 954-3279
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
5014229
NC
Other
Enumeration date
03/23/2021
Last updated
08/02/2022
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