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
Fax: (919) 341-3578
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750352423 NPPES
North Carolina MEDICAID 891197N
North Carolina MEDICAID 1750352423

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