JUANITA MCDONNELL


Address: 17674 Mahoning Ave Ste B, Lake Milton, OH 44429-9582
Phone: 3306543600

JUANITA MCDONNELL (NPI# 1538516000) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1538516000
Entity Type Individual
Full Name JUANITA MCDONNELL
Credential FNP
Practice Address 17674 Mahoning Ave Ste B
Lake Milton
OH 44429-9582
Practice Telephone 3306543600
Mailing Telephone 3306543600
Enumeration Date 2016-05-15
Last Update Date 2016-05-15
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
19125-NP OH Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 17674 MAHONING AVE STE B
City LAKE MILTON
State OH
Zip Code 44429-9582

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1114411550 The Craig Beach Volunteer Fire Department Ambulance 1797 Grandview Rd, Lake Milton, OH 44429 2018-06-19
1457513277 Milton Township Volunteer Fire Department Ambulance 15980 Milton Ave, Lake Milton, OH 44429 2008-07-02
1538177431 Bradley K Jeren Dentist 17991 Mahoning Ave, Lake Milton, OH 44429 2006-08-04
1992149157 Township of Milton Trustees Ambulance 15980 Milton Avenue, Lake Milton, OH 44429-0397 2013-04-18
1912990706 Neal David Tishman Emergency Medicine 2235 Mahoning Rd, Lake Milton, OH 44429-9562 2005-08-26
1730166117 Martin Escobar Specialist 17674 Mahoning Ave, Lake Milton, OH 44429-9582 2005-12-28
1821605833 George Allen Tuttle Pharmacist 17674 Mahoning Ave, Lake Milton, OH 44429-9582 2020-09-24
1477742716 Conitaca Medical Associates,llc Internal Medicine 17674 Mahoning Ave, Lake Milton, OH 44429-9582 2007-10-23
1942398284 Wexco Ltd Pharmacist 17674 Mahoning Ave, Lake Milton, OH 44429-9582 2006-10-11
1821007758 Ankle and Foot Care Centers Podiatrist 17674 Mahoning Ave, Lake Milton, OH 44429-9582 2006-08-07
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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1851990600 Brandy Baker Nurse Practitioner 494 Yorkshire Dr, Newark, OH 43055-1522 2020-10-22
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Competitor

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City LAKE MILTON
Zip Code 44429

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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