Individual
DEJAVU RENEE MCLEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
116 WILBY DR, CHARLOTTE, NC 28270-2718
(980) 229-8706
Mailing address
116 WILBY DR, CHARLOTTE, NC 28270-2718
(980) 229-8706
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
371581
NC
163WG0600X
Gerontology Registered Nurse
371581
NC
163WH0200X
Home Health Registered Nurse
Primary
371581
NC
Other
Enumeration date
11/02/2024
Last updated
11/18/2024
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