Individual
DESIREE MACLEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
948 JOHNSON RIDGE RD, ELKIN, NC 28621-2212
(336) 835-1467
Mailing address
225 MAC LN, MOCKSVILLE, NC 27028-8363
(336) 909-1503
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5022405
NC
363LA2200X
Adult Health Nurse Practitioner
5022405
NC
Other
Enumeration date
06/18/2025
Last updated
10/20/2025
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