Provider Demographics
NPI:1205381928
Name:MCCLAIN, DEANA DUNN (RN)
Entity Type:Individual
Prefix:MRS
First Name:DEANA
Middle Name:DUNN
Last Name:MCCLAIN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7046 MYRTLE BLUFF DR
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70810-1151
Mailing Address - Country:US
Mailing Address - Phone:225-362-9991
Mailing Address - Fax:225-275-1571
Practice Address - Street 1:7046 MYRTLE BLUFF DR
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70810-1151
Practice Address - Country:US
Practice Address - Phone:225-362-9991
Practice Address - Fax:225-275-1571
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-23
Last Update Date:2016-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA109222163W00000X, 163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No163WC0400XNursing Service ProvidersRegistered NurseCase Management