Provider Demographics
NPI:1104310721
Name:MCDONALD, HALI GRAHAM (MSN, APRN, FNP-C)
Entity type:Individual
Prefix:MRS
First Name:HALI
Middle Name:GRAHAM
Last Name:MCDONALD
Suffix:
Gender:F
Credentials:MSN, APRN, FNP-C
Other - Prefix:MS
Other - First Name:HALI
Other - Middle Name:JOELLE
Other - Last Name:MCDONALD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BSN, RN
Mailing Address - Street 1:5410 HIGHWAY 280
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35242-6501
Mailing Address - Country:US
Mailing Address - Phone:205-512-2361
Mailing Address - Fax:205-278-7660
Practice Address - Street 1:5410 HIGHWAY 280
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35242-6501
Practice Address - Country:US
Practice Address - Phone:205-512-2361
Practice Address - Fax:205-278-7660
Is Sole Proprietor?:No
Enumeration Date:2018-06-18
Last Update Date:2018-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-130912363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner