Doctor Name: | JOYCE ANN MCCLAIN |
NPI Number: | 1013012004 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN |
License Number: | 71001234A |
Business Practice Address: | 2201 Greentree N Clarksville, IN - 471298957 |
Business Phone Number: | 8122832013 |
Business Fax Number: | 8122832538 |
Mailing Address: | Po Box 950202, LOUISVILLE |
State: | KY |
Postal Code: | 402950202 |
Phone Number: | 5025889490 |
Fax Number: | 5022725116 |
NPI Enumeration Date: | 09/14/2006 |
NPI Last Update Date: | 04/21/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 71001234A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |