Individual
MRS. KATIE LLEWELLYN KERR MCCLAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
830 S GLOSTER ST, TUPELO, MS 38801-4934
(662) 377-4161
Mailing address
405 MANLEY RD, VERNON, AL 35592-4947
(205) 712-3121
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
906898
MS
Other
Enumeration date
07/01/2024
Last updated
10/20/2024
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