Healthcare Provider Details

I. General information

NPI: 1699634246
Provider Name (Legal Business Name): KATHERINE JEANNE MCDONALD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/20/2026
Last Update Date: 04/13/2026
Certification Date: 04/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7655 LEESBURG PIKE
FALLS CHURCH VA
22043-2595
US

IV. Provider business mailing address

7655 LEESBURG PIKE
FALLS CHURCH VA
22043-2595
US

V. Phone/Fax

Practice location:
  • Phone: 703-642-7522
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0024197068
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: