Individual
MS. SHELLY SHAMARA MCLEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
1017 KINGSLAND LN, FORT LEE, NJ 07024-1528
(267) 528-2743
Mailing address
1017 KINGSLAND LN, FORT LEE, NJ 07024-1528
(646) 504-9822
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
26NR22837400
NJ
163WE0003X
Emergency Registered Nurse
694554
NY
363LF0000X
Family Nurse Practitioner
Primary
26NJ15138900
NJ
Other
Enumeration date
08/05/2024
Last updated
11/11/2024
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