MEDICARE: MS. JOCELYN MARIA 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	390200000X	Student in an Organized Health Care Education/Training Program
2	251E00000X	Home Health Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1184750366
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JOCELYN MARIA MCDONALD

Provider Business Mailing Address
First Line	:	2236 MARCIA DR
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43211-1946
Country	:	US
Telephone Number	:	614-478-5181
Fax Number	:	614-478-8445

Provider Business Practice Location Address
First Line	:	2236 MARCIA DR
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43211-1946
Country	:	US
Telephone Number	:	614-478-5181
Fax Number	:	614-478-8445

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

Provider Enumeration Date	:	02/24/2007
Last Update Date	:	09/22/2008

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