| Doctor Name: | JACQUELINE J MCDANIEL |
| NPI Number: | 1174783062 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CRNP |
| License Number: | SP009654 |
| Business Practice Address: | 35 S West St Waynesburg, PA - 153702029 |
| Business Phone Number: | 7246274309 |
| Business Fax Number: | 7246270726 |
| Mailing Address: | 302 W Main St, SAINT CLAIRSVILLE |
| State: | OH |
| Postal Code: | 439508801 |
| Phone Number: | 7249433308 |
| Fax Number: | 7249434929 |
| NPI Enumeration Date: | 06/13/2008 |
| NPI Last Update Date: | 01/26/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | SP009654 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |