Provider Demographics
NPI:1548489719
Name:MACLACHLAN, DONNA JANE (NP-C)
Entity type:Individual
Prefix:MRS
First Name:DONNA
Middle Name:JANE
Last Name:MACLACHLAN
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 CLOVERDALE CIR
Mailing Address - Street 2:
Mailing Address - City:TINTON FALLS
Mailing Address - State:NJ
Mailing Address - Zip Code:07724-3106
Mailing Address - Country:US
Mailing Address - Phone:732-542-0156
Mailing Address - Fax:732-542-0156
Practice Address - Street 1:400 CEDAR AVE
Practice Address - Street 2:MONMOUTH UNIVERSITY HEALTH SERVICES
Practice Address - City:WEST LONG BRANCH
Practice Address - State:NJ
Practice Address - Zip Code:07764-1804
Practice Address - Country:US
Practice Address - Phone:732-571-3464
Practice Address - Fax:732-263-5353
Is Sole Proprietor?:No
Enumeration Date:2007-04-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00063900363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health