Willard, Jennifer Mcdonald
Willard, Jennifer Mcdonald is an individual health care provider with primary practice located at 1030 Siena Drive , Raleigh NC 27587-2781. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adolescent Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Willard, Jennifer Mcdonald can be contacted via phone (919) 235-6511.Contact Information
Primary practice address
1030 Siena Drive
Raleigh NC 27587-2781
Phone: (919) 235-6511
Fax: (919) 341-3578
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | 9701657 | North Carolina |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 9701657 | North Carolina |
Profile Details
| NPI number | 1750352423 |
|---|---|
| LBN Legal business name | Willard, Jennifer Mcdonald |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 30th, 2006 |
| Last updated | Oct 31st, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750352423 | NPPES |
| North Carolina | MEDICAID | 891197N | |
| North Carolina | MEDICAID | 1750352423 |
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