Individual ProviderJacqueline Loriane McdonaldNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address450 Clarkson Ave, Brooklyn, NY 11203-2012(718) 270-1000(646) 934-1834PECOS EnrollmentBased on the most recent information from CMS, provider Jacqueline Loriane Mcdonald does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1023430808Provider TypeIndividualFull NameMcdonald, Jacqueline LorianeGenderFemaleSole ProprietorNoEnumeration Date1/13/2014Last Updated10/20/2020Contact InformationPractice LocationPractice Address450 Clarkson Ave, Brooklyn, NY 11203-2012Phone(718) 270-1000Fax(718) 270-9615Mailing LocationMailing Address975 E 89th St, Brooklyn, NY 11236-3910Phone(646) 934-1834FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense33338435New YorkCode163WG0000XDescriptionRegistered NurseNursing Service ProvidersLicense22549290New York