Provider Demographics
NPI:1538472188
Name:MCCLELLAND, TERESA B (RN)
Entity Type:Individual
Prefix:
First Name:TERESA
Middle Name:B
Last Name:MCCLELLAND
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 ENOLA RD
Mailing Address - Street 2:FAMILY, INFANT & PRESCHOOL PROGRAM
Mailing Address - City:MORGANTON
Mailing Address - State:NC
Mailing Address - Zip Code:28655-4608
Mailing Address - Country:US
Mailing Address - Phone:828-433-2661
Mailing Address - Fax:828-438-6457
Practice Address - Street 1:300 ENOLA RD
Practice Address - Street 2:FAMILY, INFANT & PRESCHOOL PROGRAM
Practice Address - City:MORGANTON
Practice Address - State:NC
Practice Address - Zip Code:28655-4608
Practice Address - Country:US
Practice Address - Phone:828-433-2661
Practice Address - Fax:828-438-6457
Is Sole Proprietor?:No
Enumeration Date:2010-07-23
Last Update Date:2013-01-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC96422163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health