Individual
MRS. BLAIR MCCLOUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
109 W WATAUGA AVE, JOHNSON CITY, TN 37604-5668
(423) 232-2600
Mailing address
1167 SPRATLIN PARK DR, GRAY, TN 37615-6205
(423) 467-3600
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
34732
TN
Other
Enumeration date
09/12/2023
Last updated
04/22/2025
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