| NPI | 1609081801 | 
|---|---|
| Former Name | JAAMI LYNN MCCLELLAN | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: GA RN247100) | 
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA AP30007704) | 
| 163WG0000X Registered Nurse, General Practice (Licence: WA AP30007704) | |
| 163WR0400X Registered Nurse, Rehabilitation (Licence: WA AP30007704) | |
| 163WX0106X Registered Nurse, Occupational Health (Licence: WA AP30007704) | |
| 363L00000X Nurse Practitioner (Licence: WA AP30007704) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP30007704) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: WA AP30007704) | |
| 363LX0106X Nurse Practitioner, Occupational Health (Licence: WA AP30007704) | |
| Enumeration Date | 2007-05-11 | 
| Last Update Date | 2017-11-06 |