Individual
MRS. THELMA JEAN MCCLENTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1237 HIGHWAY 182 E, STARKVILLE, MS 39759-9529
(662) 320-7001
(662) 320-4830
Mailing address
7060 LONE OAK RD, WEST POINT, MS 39773-8910
(662) 494-7965
(662) 320-4830
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R621714
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00118938
—
MS
Enumeration date
11/01/2006
Last updated
07/08/2007
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