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NPI Code Detail

MEDICARE: DR. JENNIFER NICOLE MCDONALD D.O.

MEDICARE: DR. JENNIFER NICOLE MCDONALD D.O.
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
1207Q00000XFamily Medicine Physician72953GA
2207QS1201XSleep Medicine (Family Medicine) PhysicianH0092519MD
3207Q00000XFamily Medicine PhysicianH0092519MD

General Provider Information

NPI Number : 1952710287
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JENNIFER NICOLE MCDONALD D.O.
Provider Business Mailing Address
First Line : 7211 BANK CT STE 240
Second Line :
City : FREDERICK
State : MD
Zip : 21703-8482
Country : US
Telephone Number : 240-566-7378
Fax Number :
Provider Business Practice Location Address
First Line : 7211 BANK CT
Second Line :
City : FREDERICK
State : MD
Zip : 21703-8483
Country : US
Telephone Number : 240-566-7378
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/12/2014
Last Update Date : 04/27/2026

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