# JENNIFER ALYSSA MACLEAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1235565177
- **Gender:** F
- **Credential:** NP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | 95009392 | CA | Yes |
| 363LP0200X | Pediatric Nurse Practitioner | 18499 | SC | — |

## Other

- **Enumeration date:** 09/24/2013
- **Last updated:** 08/07/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | NP2560 | — | SC |