Individual
MRS. SHELLIANN MARIE ENDLINE-MCCLARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
770 KENMOOR AVE SE STE 100, GRAND RAPIDS, MI 49546-8602
(616) 272-3533
(616) 259-4839
Mailing address
801 ROSEHILL RD, JACKSON, MI 49202-1762
(615) 627-2293
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704176891
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4560345 10
—
MI
01
—
50-0-87-0197-0
BCBSM PC
MI
Enumeration date
01/09/2007
Last updated
05/02/2025
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