Healthcare Provider Details

I. General information

NPI: 1568242642
Provider Name (Legal Business Name): TERRIKKA NICOLE MCDONALD APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/05/2023
Last Update Date: 03/20/2026
Certification Date: 03/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

53 DONNERMEYER DR
BELLEVUE KY
41073-1352
US

IV. Provider business mailing address

1020 EDWARDS RD
ELSMERE KY
41018-2322
US

V. Phone/Fax

Practice location:
  • Phone: 859-815-7063
  • Fax:
Mailing address:
  • Phone: 812-621-8411
  • Fax: 859-545-4836

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0038441
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number4009608
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: