Individual
MRS. JENNIFER C MACDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
2877 WELLNESS AVE, ORANGE CITY, FL 32763-8396
(386) 668-4650
(386) 668-4649
Mailing address
2877 WELLNESS AVE, ORANGE CITY, FL 32763-8396
(386) 668-4650
(386) 668-4649
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
ARNP2615892
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
303851700
—
FL
Enumeration date
09/30/2005
Last updated
11/28/2012
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