Individual
SHAWANNA LATRICIA MCCLENDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
153 BLACKMON RD, JACKSON, MS 39272-6002
(601) 665-3034
Mailing address
153 BLACKMON RD, JACKSON, MS 39272-6002
(601) 665-3034
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
907824
MS
Other
Enumeration date
10/09/2025
Last updated
11/04/2025
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