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NPI Code Detail

MEDICARE: MS. MONSHITA MCDONALD FNP

MEDICARE:  MS. MONSHITA  MCDONALD  FNP
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
1363LC1500XCommunity Health Nurse PractitionerRN214566GA

General Provider Information

NPI Number : 1861006223
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MONSHITA MCDONALD FNP
Provider Business Mailing Address
First Line : 1523 SAN BERNARDINO WAY
Second Line :
City : VALDOSTA
State : GA
Zip : 31601-2511
Country : US
Telephone Number : 229-942-9618
Fax Number :
Provider Business Practice Location Address
First Line : 1523 SAN BERNARDINO WAY
Second Line :
City : VALDOSTA
State : GA
Zip : 31601-2511
Country : US
Telephone Number : 229-942-9618
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/03/2020
Last Update Date : 11/27/2023

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Directions to “ MS. MONSHITA MCDONALD FNP” Practice Location

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