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Contact Information

SHANDRA MCCLELLAN, NP
2119 HIGHWAY 82 EAST
GREENVILLE, MS38703
 Phone: 662-390-8992
 Fax: 662-335-7933
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for SHANDRA MCCLELLAN · (Female)

NPI # 1538138250
Status Active
Credentials NP (Nurse Practitioner)
Entity Individual
Enumeration date 03/15/2006
Last updated 10/08/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • MS License # R852906
  • MS Medicaid 124379
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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