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Individual

JASON A MACDONALD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
AGACNP

Contact information

Practice address
4755 OGLETOWN STANTON RD STE 2E99, NEWARK, DE 19718-2200
(302) 733-5982
(302) 733-6081
Mailing address
4755 OGLETOWN STANTON RD STE 2E99, NEWARK, DE 19718-2200
(302) 733-5982
(302) 733-6081

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
L1-0041369
DE
363LA2200X
Adult Health Nurse Practitioner
Primary
LP-0010386
DE
363LG0600X
Gerontology Nurse Practitioner
LP-0010386
DE

Other

Enumeration date
09/18/2020
Last updated
10/07/2020
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