Provider Demographics
NPI:1285204263
Name:MCDONALD, JANA RENEE (RNFA)
Entity Type:Individual
Prefix:MRS
First Name:JANA
Middle Name:RENEE
Last Name:MCDONALD
Suffix:
Gender:F
Credentials:RNFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1002 RIDGEWAY DR
Mailing Address - Street 2:
Mailing Address - City:YUKON
Mailing Address - State:OK
Mailing Address - Zip Code:73099-4821
Mailing Address - Country:US
Mailing Address - Phone:405-410-9067
Mailing Address - Fax:
Practice Address - Street 1:1002 RIDGEWAY DR
Practice Address - Street 2:
Practice Address - City:YUKON
Practice Address - State:OK
Practice Address - Zip Code:73099-4821
Practice Address - Country:US
Practice Address - Phone:405-410-9067
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-30
Last Update Date:2021-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKR0078672163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant