| NPI | 1053517946 |
|---|---|
| Former Name | MEKEESHA L MCCLURE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN APN13769) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN RN0000156006) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: TN APN0000013769) | |
| Enumeration Date | 2007-06-26 |
| Last Update Date | 2024-02-29 |