Provider Demographics
NPI:1609924075
Name:MCNEAL, GLORIA JEAN (PHD, ACNS-BC, APN, C)
Entity Type:Individual
Prefix:DR
First Name:GLORIA
Middle Name:JEAN
Last Name:MCNEAL
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Gender:F
Credentials:PHD, ACNS-BC, APN, C
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Mailing Address - Street 1:3678 AERO COURT
Mailing Address - Street 2:NATIONAL UNIVERSITY SCHOOL OF HEALTH AND HUMAN SERVICES
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92123-1788
Mailing Address - Country:US
Mailing Address - Phone:858-334-9560
Mailing Address - Fax:858-309-3480
Practice Address - Street 1:5245 PACIFIC CONCOURSE DRIVE SUITE 100
Practice Address - Street 2:NATIONAL UNIVERSITY NURSE MANAGED CLINIC
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90054-6905
Practice Address - Country:US
Practice Address - Phone:310-662-2052
Practice Address - Fax:858-309-3480
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-08
Last Update Date:2022-07-21
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Provider Licenses
StateLicense IDTaxonomies
CA3694364SA2200X
NJ26NJ00046100364SM0705X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SA2200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistAdult Health
No364SM0705XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistMedical-Surgical