Individual
JESSICA MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
8100 NORTHLAND DR, BLOOMINGTON, MN 55431-4800
(952) 831-8742
Mailing address
640 JACKSON ST, SAINT PAUL, MN 55101-2502
(651) 254-2005
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1752
MN
Other
Enumeration date
07/06/2012
Last updated
05/04/2021
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