Provider Demographics
NPI:1962691949
Name:MCDONALD, DAPHNE LEE JANE (WHCNP)
Entity type:Individual
Prefix:MRS
First Name:DAPHNE
Middle Name:LEE JANE
Last Name:MCDONALD
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Gender:F
Credentials:WHCNP
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Mailing Address - Street 1:9101 LBJ FWY
Mailing Address - Street 2:SUITE 710
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75243-2057
Mailing Address - Country:US
Mailing Address - Phone:972-792-5700
Mailing Address - Fax:214-349-7707
Practice Address - Street 1:2821 E PRESIDENT GEORGE BUSH HWY
Practice Address - Street 2:SUITE 300
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75082-4266
Practice Address - Country:US
Practice Address - Phone:972-231-9144
Practice Address - Fax:972-231-9174
Is Sole Proprietor?:No
Enumeration Date:2007-10-16
Last Update Date:2013-05-15
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Provider Licenses
StateLicense IDTaxonomies
TX627644363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8Y3222OtherBLUE CROSS BLUE SHIELD