Doctor Name: | STEPHANIE MCCLELLAND |
NPI Number: | 1609274208 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | COA.16849-NP |
Business Practice Address: | 2541 Panther Dr Ne New Lexington, OH - 437649081 |
Business Phone Number: | 7403424192 |
Business Fax Number: | 7407757855 |
Mailing Address: | Po Box 188, CHILLICOTHE |
State: | OH |
Postal Code: | 456010188 |
Phone Number: | 7407734366 |
Fax Number: | 7407757855 |
NPI Enumeration Date: | 12/12/2014 |
NPI Last Update Date: | 12/12/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP2300X |
License Number: | COA.16849-NP |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |