Individual
YASSMINA M MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
8081 INNOVATION PARK DR STE 775, FAIRFAX, VA 22031-4867
(571) 472-1660
(571) 472-1661
Mailing address
PO BOX 37174, BALTIMORE, MD 21297-3174
(571) 423-5699
(571) 423-5698
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024180086
VA
363L00000X
Nurse Practitioner
95003259
CA
363LW0102X
Women's Health Nurse Practitioner
95003259
CA
Other
Enumeration date
10/02/2015
Last updated
05/06/2022
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