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Individual
JILL ELYSE MCLEAN
Active
Individual
JILL ELYSE MCLEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
555115
TX
363LF0000X
Family Nurse Practitioner
Primary
AP109982
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00N49A
BCBS
TX
05
—
063566601
—
TX
05
—
063566602
—
TX
05
—
084207201
—
TX
01
—
458679
MEDICARE
TX
Enumeration date
07/15/2008
Last updated
06/26/2018
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