Individual
CYNTHIA MCCLELLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
635040
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
198399103
—
TX
05
—
198399104
—
TX
01
—
8Y9301
BCBS
TX
01
—
TIN PLUS 042
TRICARE
TX
Enumeration date
11/21/2008
Last updated
11/13/2019
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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