Individual provider · Type 1 NPI
Jennifer M. Donaldson
Family Nurse Practitioner · Long Beach, CA
NPI number
1104680453
Active
Practice location
200 Oceangate Ste 100
Long Beach, CA 90802-4317
Mailing address
618 S Detroit St Apt 206
Los Angeles, CA 90036-4198
Other practice locations
- 618 S Detroit St Apt 206, Los Angeles, CA 90036-4198 · (201) 725-1313
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 2023167308 (CA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1104680453
Jennifer M. Donaldson's National Provider Identifier is 1104680453, issued on Feb 7, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Long Beach, CA. The record was last updated on Feb 26, 2024.