Individual provider · NPI-1

Brianne Mcdonald

Nurse's Aide · Jonesboro, GA

NPI number1154730794
StatusActive
Last updated in NPPESAug 7, 2014

Details

NPI
1154730794
Entity type
Individual (NPI-1)
Name
Brianne Mcdonald
Sex
Female
Sole proprietor
No
Enumeration date
Aug 7, 2014
Last updated
Aug 7, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
376K00000X Nurse's Aidecn0014199326GAYes

Practice location

8799 Freedom Way
Jonesboro, GA 30238-7004

Phone 843-359-5738

Mailing address

8799 Freedom Way
Jonesboro, GA 30238-7004

Phone 843-359-5738

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