Individual
CLEMMIE JO MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNFA
Contact information
Practice address
2470 FLOWOOD DR, FLOWOOD, MS 39232-9019
(601) 936-0400
(601) 932-4845
Mailing address
2470 FLOWOOD DR, FLOWOOD, MS 39232-9019
(601) 936-0400
(601) 932-4845
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
R819129
MS
Other
Enumeration date
12/16/2009
Last updated
12/09/2016
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