Provider Demographics
NPI:1750584595
Name:XIAO Q. MCLINTON RN PC
Entity type:Organization
Organization Name:XIAO Q. MCLINTON RN PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:XIAO
Authorized Official - Middle Name:Q
Authorized Official - Last Name:MCLINTON
Authorized Official - Suffix:
Authorized Official - Credentials:CNP
Authorized Official - Phone:317-428-6909
Mailing Address - Street 1:10401 N MERIDIAN ST
Mailing Address - Street 2:STE 310
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46290-1151
Mailing Address - Country:US
Mailing Address - Phone:317-428-6909
Mailing Address - Fax:
Practice Address - Street 1:200 HIGHWAY 70 EAST
Practice Address - Street 2:
Practice Address - City:HILLSBOROUGH
Practice Address - State:NC
Practice Address - Zip Code:27278
Practice Address - Country:US
Practice Address - Phone:919-732-3064
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty