Provider Demographics
NPI:1083397004
Name:MCCLELLAN, MEGHANN MAUREEN (APRN, FNP-C)
Entity Type:Individual
Prefix:MS
First Name:MEGHANN
Middle Name:MAUREEN
Last Name:MCCLELLAN
Suffix:
Gender:F
Credentials:APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1800 N BRITAIN RD
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75061-2630
Mailing Address - Country:US
Mailing Address - Phone:214-266-3000
Mailing Address - Fax:214-266-3049
Practice Address - Street 1:1800 N BRITAIN RD
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75061-2630
Practice Address - Country:US
Practice Address - Phone:214-266-3000
Practice Address - Fax:214-266-3049
Is Sole Proprietor?:No
Enumeration Date:2023-08-08
Last Update Date:2024-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1121087363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily