Individual
DR. JENNIFER L. MCLEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4125 IRONBOUND RD STE 200, WILLIAMSBURG, VA 23188-2666
(757) 345-2829
(757) 345-0644
Mailing address
860 OMNI BLVD STE 101, NEWPORT NEWS, VA 23606-4430
(757) 232-8777
(757) 232-8866
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
200500637
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
140P5
BCBS
NC
05
—
1730169541
—
VA
01
—
5619144
CIGNA
NC
05
—
5901252
—
NC
01
—
7670738
ATENA
NC
01
—
E3773
MEDCOST
NC
Enumeration date
01/18/2006
Last updated
12/02/2019
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