Individual
WANDA RENEE MCCLELLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
402 SOUTH LEE STREET, HAMPTON, AR 71744-0851
(870) 798-4299
(870) 798-2005
Mailing address
PO BOX 851, HAMPTON, AR 71744-0851
(870) 798-4299
(870) 798-2005
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
A01769
AR
Other
Enumeration date
06/21/2007
Last updated
07/08/2007
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