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Individual

JOAN MCDONALD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
1811 MATTHEWS TOWNSHIP PKWY, MATTHEWS, NC 28105-4659
(704) 512-2048
Mailing address
1811 MATTHEWS TOWNSHIP PKWY, MATTHEWS, NC 28105-4659
(704) 512-2048

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
200846
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7000418
NC
05
7000419
NC
Enumeration date
05/03/2006
Last updated
01/10/2008
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