Provider Demographics
NPI:1801912076
Name:MCCARTHY, JENIFER DONNELLAN (MD)
Entity type:Individual
Prefix:DR
First Name:JENIFER
Middle Name:DONNELLAN
Last Name:MCCARTHY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:345 JUPITER LAKES BLVD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33458-7100
Mailing Address - Country:US
Mailing Address - Phone:561-972-6900
Mailing Address - Fax:561-972-6901
Practice Address - Street 1:345 JUPITER LAKES BLVD
Practice Address - Street 2:SUITE 102
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33458-7100
Practice Address - Country:US
Practice Address - Phone:561-972-6900
Practice Address - Fax:561-972-6901
Is Sole Proprietor?:No
Enumeration Date:2007-03-21
Last Update Date:2010-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME106455207VE0102X
MI4301083491207VE0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive Endocrinology