Individual
LATISHA DAWN MCCLAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
225 MEDICAL CENTER DR STE 101, PADUCAH, KY 42003-7934
(270) 441-4357
Mailing address
2200 JEFFERSON AVE FL 5, TOLEDO, OH 43604-7102
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
24309
SC
363LF0000X
Family Nurse Practitioner
Primary
3016050
KY
Other
Enumeration date
11/18/2020
Last updated
09/23/2021
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