Provider Demographics
NPI:1912257551
Name:MCCLELLAND, JONETTE M (CRNP)
Entity Type:Individual
Prefix:
First Name:JONETTE
Middle Name:M
Last Name:MCCLELLAND
Suffix:
Gender:F
Credentials:CRNP
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Other - First Name:
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Mailing Address - Street 1:1070 OLD NATIONAL PIKE
Mailing Address - Street 2:
Mailing Address - City:FREDERICKTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15333-2114
Mailing Address - Country:US
Mailing Address - Phone:724-632-6801
Mailing Address - Fax:724-632-6312
Practice Address - Street 1:37 HIGHLAND AVENUE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:PA
Practice Address - Zip Code:15301-4062
Practice Address - Country:US
Practice Address - Phone:724-223-1067
Practice Address - Fax:724-223-1088
Is Sole Proprietor?:No
Enumeration Date:2012-09-11
Last Update Date:2021-11-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PASP012367363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics