Individual
PATRICIA MCCLAIN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
40 UNION CHURCH RD, MEADVILLE, MS 39653-8336
(601) 384-8100
(601) 384-4100
Mailing address
1260 SPAYD RD, LORMAN, MS 39096-6250
(601) 384-8100
(601) 384-4100
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R099060
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0110171
—
MS
Enumeration date
08/10/2005
Last updated
07/08/2007
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