| Doctor Name: | MELINDA MCCLENDON |
| NPI Number: | 1003212184 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN, AGNP-BC |
| License Number: | AP126900 |
| Business Practice Address: | 3201 S Austin Ave Suite 265 Georgetown, TX - 786267545 |
| Business Phone Number: | 5124167246 |
| Business Fax Number: | 5122752833 |
| Mailing Address: | 2501 W William Cannon Dr, Suite 401 AUSTIN |
| State: | TX |
| Postal Code: | 787455281 |
| Phone Number: | 5124167246 |
| Fax Number: | 5122752833 |
| NPI Enumeration Date: | 11/17/2014 |
| NPI Last Update Date: | 02/15/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | AP126900 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TX |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |