Individual
CASIE DANIELLE MCCLELLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, FNP-C
Contact information
Practice address
1504 PATTON DR, MAHOMET, IL 61853-8144
(217) 586-2633
(217) 590-0272
Mailing address
1120 N MELVIN ST, GIBSON CITY, IL 60936-1477
(217) 784-4251
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209029890
IL
Other
Enumeration date
07/02/2024
Last updated
07/17/2024
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