Individual
JEFFREY P DONNELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
516 STRAND ST, FREDERIKSTED HEALTH CENTER, FREDERIKSTED, VI 00840-3533
(340) 772-0260
Mailing address
PO BOX 24863, CHRISTIANSTED, VI 00824-0863
(340) 642-5460
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
060
VI
Other
Enumeration date
06/23/2006
Last updated
02/03/2017
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