Individual
ANGELA MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
NBHC MERIDIAN 1801 FULLER ST BLDG 367, MERIDIAN, MS 39309-3107
(601) 679-2210
Mailing address
NBHC MERIDIAN 1801 FULLER RD BLDG 367, MERIDIAN, MS 39309-3107
(601) 679-2210
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
828992
MS
363LF0000X
Family Nurse Practitioner
Primary
R828992
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00122452
—
MS
Enumeration date
10/23/2006
Last updated
04/22/2022
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