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 |