MEDICARE: JENNIFER ANN MCDONALD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist

General Provider Information

NPI Number	:	1669762571
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER ANN MCDONALD

Provider Business Mailing Address
First Line	:	798 COUNTRYSIDE AVE SW
Second Line	:
City	:	NEW PRAGUE
State	:	MN
Zip	:	56071-4163
Country	:	US
Telephone Number	:	952-758-1976
Fax Number	:

Provider Business Practice Location Address
First Line	:	314 MAIN ST E STE 3
Second Line	:
City	:	NEW PRAGUE
State	:	MN
Zip	:	56071-2448
Country	:	US
Telephone Number	:	952-758-5775
Fax Number	:	952-758-5778

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/12/2011
Last Update Date	:	03/03/2026

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Directions to “ JENNIFER ANN MCDONALD ” Practice Location

Language	Start Address	Practice Location

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