MEDICARE: KATHERINE JEANNE 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	363LF0000X	Family Nurse Practitioner	0024197068	VA

General Provider Information

NPI Number	:	1699634246
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHERINE JEANNE MCDONALD

Provider Business Mailing Address
First Line	:	1892 PRESTON WHITE DR STE 201
Second Line	:
City	:	RESTON
State	:	VA
Zip	:	20191-5498
Country	:	US
Telephone Number	:	571-786-1492
Fax Number	:	833-974-5141

Provider Business Practice Location Address
First Line	:	1892 PRESTON WHITE DR STE 201
Second Line	:
City	:	RESTON
State	:	VA
Zip	:	20191-5498
Country	:	US
Telephone Number	:	571-786-1492
Fax Number	:

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

Provider Enumeration Date	:	01/20/2026
Last Update Date	:	06/01/2026

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Directions to “ KATHERINE JEANNE MCDONALD ” Practice Location

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