Juanita McDonald, RN

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

904340 Issued in MS

Practice address

3223 Sage St
Jackson, MS 39213-6157

Phone

(601) 589-2099

NPI assigned

Aug 29, 2018

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1535500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535500800000",
    "number": "1144702960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1060 E COUNTY LINE RD STE 3A-323",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391571900",
            "telephone_number": "601-589-2099",
            "fax_number": "601-510-9046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3223 SAGE ST",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392136157",
            "telephone_number": "601-589-2099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "JUANITA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-29",
        "last_updated": "2018-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "MS",
            "license": "904340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Anne McDonald, AU.D.
• Corneisha McDonald, LPN
• Imari McDonald, LPC
• Irvin Cordell McDonald, NP
• Jayme Robertson McDonald, PA-C
• Mary Ranie McDonald, MD
• Sharvette Renee McDonald, PBT
• Taryn D. McDonald, MSW
• Anna McDowell, DMD
• Sydney Hays McDowell, MD

• Home Health Registered Nurse in Jackson, MS
• Providers in Jackson, MS by specialty
• Home Health Registered Nurse in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.