TARA MCLELLAN

Dr TARA MCLELLAN is a female medical professional, specializing in Nurse Practitioner. She graduated in 2009.

Contact

12440 MAGNOLIA AVE
SUITE 200
MAGNOLIA SPRINGS
AL
365556434

Tel:

TARA MCLELLAN Information

Npi 1528399748
Pac Id 0345411237
Professional Enrollment Id I20190815003720
Last Name MCLELLAN
First Name TARA
Middle Name
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 2009
Primary Specialty NURSE PRACTITIONER
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name
Group Practice Pac Id
Number Of Group Practice Members
Line 1 Street Address 12440 MAGNOLIA AVE
Line 2 Street Address SUITE 200
Marker Of Address Line 2 Suppression
City MAGNOLIA SPRINGS
State AL
Zip Code 365556434
Phone Number
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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