JERRY LEE MCCLELLAN

CHARLESTON, WV
NPI1316292477
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: WV  APRN64260)
Additional Taxonomies367500000X Nurse Anesthetist, Certified Registered
(Licence: WV  88050)
Enumeration Date2012-07-16
Last Update Date2022-08-08
Business Address
JERRY LEE MCCLELLAN CRNA
501 MORRIS ST
CHARLESTON, WV 25301-1326
Phone number: 304-388-6261
Mailing Address
JERRY LEE MCCLELLAN CRNA
PO BOX 3466
CHARLESTON, WV 25334-3466
Phone number: 304-720-8816