Individual
TAMMIE D MCCLENDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
2500 HAMLIN DR, INKSTER, MI 48141-2348
(313) 561-5100
(313) 565-0309
Mailing address
26650 EUREKA RD STE C-1, TAYLOR, MI 48180-4835
(734) 941-4991
(734) 941-4919
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
4704202622
MI
363LA2200X
Adult Health Nurse Practitioner
Primary
4704202622
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1639509508
—
MI
Enumeration date
11/13/2013
Last updated
05/08/2026
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