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:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:9618 JEFFERSON HWY STE D
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70809-9636
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:2024-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA109222163WC0400X, 163W00000X
LA82408374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No163WC0400XNursing Service ProvidersRegistered NurseCase Management
No374J00000XNursing Service Related ProvidersDoula