Provider Demographics
NPI:1043929334
Name:MCDONALD, JENNIFER (SCD, CHES, NBC-HWC)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:
Last Name:MCDONALD
Suffix:
Gender:F
Credentials:SCD, CHES, NBC-HWC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18603 SILENT FALLS CV
Mailing Address - Street 2:
Mailing Address - City:DAVIDSON
Mailing Address - State:NC
Mailing Address - Zip Code:28036-7871
Mailing Address - Country:US
Mailing Address - Phone:518-727-9554
Mailing Address - Fax:
Practice Address - Street 1:18603 SILENT FALLS CV
Practice Address - Street 2:
Practice Address - City:DAVIDSON
Practice Address - State:NC
Practice Address - Zip Code:28036-7871
Practice Address - Country:US
Practice Address - Phone:518-727-9554
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-16
Last Update Date:2022-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach