WANDA RENEE MCCLELLAN (NPI# 1124224746) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124224746 |
| Entity Type | Individual |
| Full Name | WANDA RENEE MCCLELLAN |
| Credential | APN |
| Practice Address |
402 South Lee Street Hampton AR 71744-0851 |
| Mailing Address |
Po Box 851 Hampton AR 71744-0851 |
| Practice Telephone | 8707984299 |
| Practice Fax Number | 8707982005 |
| Mailing Telephone | 8707984299 |
| Mailing Fax Number | 8707982005 |
| Enumeration Date | 2007-06-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
A01769 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790822914 | Wanda Mcclellan | Advanced Practice Midwife | 1105 Burleyson Rd, Dalton, GA 30720-3017 | 2007-01-30 |
| Street Address |
402 SOUTH LEE STREET |
| City | HAMPTON |
| State | AR |
| Zip Code | 71744-0851 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972517027 | Charles Lee Liggett Jr. | Specialist | 402 South Lee Street, Hampton, AR 71744-1196 | 2006-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477767283 | Darla J Johnston | Occupational Therapy Assistant | 485 E. Main, Hampton, AR 71744 | 2007-05-10 |
| 1629110614 | Superintendent of Hampton School | Local Education Agency (LEA) | 419 E Main Street, Hampton, AR 71744 | 2007-02-13 |
| 1982796819 | County of Calhoun County Judge | Ambulance | 449 9th Street, Hampton, AR 71744 | 2006-09-28 |
| 1740407360 | Donna Marie Carter | Occupational Therapist | 424 South Lee, Hampton, AR 71744-0556 | 2007-04-18 |
| 1447251137 | Robert Allen Floss | Family Medicine | 402 N Lee St, Hampton, AR 71744-0686 | 2005-08-03 |
| 1861493447 | Hampton Medical Pharmacy | Pharmacy | 344 S Lee, Hampton, AR 71744-0732 | 2005-08-09 |
| 1548655293 | Rhonda Seat | Nurse Practitioner | 402 Lee Street, Hampton, AR 71744-1196 | 2015-03-31 |
| 1073908521 | Cabun Rural Health Services, Inc | Dentist | 402 Lee Street, Hampton, AR 71744-1196 | 2015-04-01 |
| 1255626602 | Daniel Adrian Whitelocke | Family Medicine | 402 S Lee St, Hampton, AR 71744-8615 | 2011-06-14 |
| 1235698200 | Robert Todd Pennington | Nurse Practitioner | 402 S Lee St, Hampton, AR 71744-8615 | 2019-03-18 |
| Find all providers in zip 71744 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710498035 | Venesha Lorraine Scott | Nurse Practitioner | 12001 Lovejoy Crossing Blvd, Hampton, GA 30228-5985 | 2017-10-12 |
| 1720490386 | Kimberly Mckissack | Nurse Practitioner | 100 Emancipation Dr, Hampton, VA 23667-3302 | 2014-05-29 |
| 1790974723 | Mary J Gibson | Nurse Practitioner | 2117 Hartford Rd, Hampton, VA 23666-2408 | 2007-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720611361 | Jamie L Cagle | Nurse Practitioner | 1500 Dodson Ave # 60, Fort Smith, AR 72901-5182 | 2020-02-21 |
| 1306489281 | Lawana Bradley | Nurse Practitioner | 296 Lake Rd, Atkins, AR 72823-7165 | 2019-10-23 |
| 1679116024 | Michelle Grant | Nurse Practitioner | 130 Mark Cir, Monticello, AR 71655-5617 | 2019-10-17 |
| 1780238782 | Chelsea D. Marquis | Nurse Practitioner | 4401 Sw Flagstone Blvd, Bentonville, AR 72713-4005 | 2019-07-29 |
| 1265094478 | Kristyn Clark | Nurse Practitioner | 210 S Thompson St, Springdale, AR 72764-4239 | 2019-07-08 |
| 1184194029 | Stephanie Lucille Converse | Nurse Practitioner | 326 Lee Rd # 601, Brickeys, AR 72320-8000 | 2018-12-04 |
| 1174026165 | Phoebe Grace Chandler | Nurse Practitioner | 3782 Solitude St, Springdale, AR 72764-6368 | 2018-03-15 |
| 1386143717 | Andrew Freeman Oliver | Nurse Practitioner | 650 United Dr Ste 200, Conway, AR 72032-7001 | 2018-02-12 |
| 1760908982 | Jamie Leigh Ferguson | Nurse Practitioner | 4301 W Markham St # 721-3, Little Rock, AR 72205-7101 | 2017-08-18 |
| 1336677731 | Robert Lee Mcgruder Jr. | Nurse Practitioner | 2308 Royal Ct Unit B, Bryant, AR 72022-4216 | 2017-05-30 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.