Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 176B00000X | Midwife | CNM710 | NC |
N | 363LA2200X | Nurse Practitioner - Adult Health | 0000006347 | TN |
NPI | 1053483644 |
---|---|
Provider Name | Donna Jo Mcdonald |
First Address | Asheville, NC 28806-2270 |
Second Address | Asheville, NC 28806 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/11/2006 |
Last Update Date | 01/07/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1505062 | (05) | TN |