Individual provider · Type 1 NPI
Jackie Clanton McDonald, DNP-C
Family Nurse Practitioner · Madison, MS
NPI number
1831473552
Active
Practice location
10 Provence Blvd
Madison, MS 39110-8350
Fax (601) 608-7213
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | R863322 (MS) |
Family Nurse Practitioner: Definition to come...
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About NPI 1831473552
Jackie Clanton McDonald, DNP-C's National Provider Identifier is 1831473552, issued on Sep 29, 2011. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Madison, MS. The record was last updated on Mar 30, 2026.