Individual
JACQUELINE JO MCCLENACHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
205 S FRONT ST FL 4, HARRISBURG, PA 17104-1619
(717) 231-8555
Mailing address
205 S FRONT ST FL 4, HARRISBURG, PA 17104-1619
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
63115
CT
163WG0000X
General Practice Registered Nurse
RN687908
PA
363LF0000X
Family Nurse Practitioner
R246064
MD
363LF0000X
Family Nurse Practitioner
Primary
SP022309
PA
Other
Enumeration date
03/27/2020
Last updated
05/20/2024
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