Shandra Mcclellan in Greenville - Nurse Practitioner

Shandra Mcclellan - NPI 1538138250

Shandra Mcclellan is a Nurse Practitioner in Greenville, Mississippi. Shandra Mcclellan practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Shandra Mcclellan is 1538138250. The last update date is 2013-10-08.

Shandra Mcclellan's current location address is 2119 Highway 82 E, Greenville, Mississippi. You can contact this provider via phone number 6623908992 and fax number 6623357933. The mailing address for Shandra Mcclellan is 2119 Highway 82 E, Greenville, Mississippi. To know further, please read the information below!

Provider Profile Detail

Provider Name Shandra Mcclellan
Address 2119 Highway 82 E, Greenville, Mississippi
Phone Number 6623908992
Fax Number 6623357933
Sole Proprietor N
Credentials NP

NPI Number Detail

NPI Number 1538138250
Provider Enumeration Date 2006-03-15
Last Updated Date 2013-10-08

Provider Mailing Address Detail

Address 2119 Highway 82 E
City Greenville
State Mississippi (MS)
Post Code 387036010
Phone Number 6623908992
Fax Number 6623357933

Provider's Primary Taxonomy Detail

Speciality Nurse Practitioner
Taxonomy 363L00000X
Licence No R852906
Definition:
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
124379 MS --

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FAQs about Shandra Mcclellan

What is the Shandra Mcclellan's unique identification number?

The Shandra Mcclellan has been assigned the NPI (National Provider Identifier) Number 1538138250 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete physical location address of Shandra Mcclellan?

The Shandra Mcclellan is physically situated at 2119 Highway 82 E, in the city of Greenville, state of MS, with the postal code 387036010.

What is Shandra Mcclellan's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Shandra Mcclellan is Nurse Practitioner, and the taxonomy code that classifies this field of practice is 363L00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1538138250 to Shandra Mcclellan?

The Centers for Medicare & Medicaid Services assigned the 1538138250 to Shandra Mcclellan on 2006-03-15.

When was the information pertaining to Shandra Mcclellan most recently updated or revised?

The details related to Shandra Mcclellan, including its address, specialty, and other relevant information, were last updated or revised on 2013-10-08.

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