Individual
JESSE V MCCLAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNS
Contact information
Practice address
1340 BELMONT AVE, STE 2200, YOUNGSTOWN, OH 44504-1125
(330) 746-7400
(330) 746-7436
Mailing address
1340 BELMONT AVE, STE 2200, YOUNGSTOWN, OH 44504-1125
(330) 746-7400
(330) 746-7436
Taxonomy
Speciality
Code
Description
License number
State
364SA2200X
Adult Health Clinical Nurse Specialist
Primary
APRN.CNS.09249
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2960167
—
OH
01
—
H166150
MEDICARE PTAN
OH
01
—
MCNS03831
MEDICARE PTAN
OH
Enumeration date
01/26/2007
Last updated
01/01/2017
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