Individual
JACLYN MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
5301 S CONGRESS AVE, ATLANTIS, FL 33462-1197
(561) 965-7300
Mailing address
7049 VIA LEONARDO, LAKE WORTH, FL 33467-5236
(561) 504-3324
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
514500
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN9319633
FL
367500000X
Certified Registered Nurse Anesthetist
RN716966
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00
NA
—
Enumeration date
07/06/2018
Last updated
07/10/2024
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