Individual
JACKIE CLANTON MCDONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP-C
Contact information
Practice address
10 PROVENCE BLVD, MADISON, MS 39110-8350
(601) 608-7213
(601) 608-7213
Mailing address
10 PROVENCE BLVD, MADISON, MS 39110-8350
(601) 608-7213
(601) 608-7213
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R863322
MS
Other
Enumeration date
09/29/2011
Last updated
03/30/2026
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