Individual
JESSE ELI MACDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
1365 CLIFTON RD NE FL 1, ATLANTA, GA 30322-1013
(404) 778-3184
Mailing address
1365 CLIFTON RD NE FL 1, ATLANTA, GA 30322-1013
(404) 778-3184
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
AP61473760
WA
363LF0000X
Family Nurse Practitioner
Primary
RN330008
GA
Other
Enumeration date
08/02/2023
Last updated
12/06/2024
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