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Individual

JILL TAMSEN MCLEOD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
388 E YOSEMITE AVE STE 100, MERCED, CA 95340-8219
(209) 722-7801
(209) 722-1572
Mailing address
3349 G STREET SUITE C, MERCED, CA 95340
(209) 580-4638
(209) 384-3966

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
19439
CA
363AS0400X
Surgical Physician Assistant
Primary
19439
CA
363LF0000X
Family Nurse Practitioner
17692
CA

Other

Enumeration date
09/11/2007
Last updated
04/10/2025
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