Individual
MEGAN VALLANCE MCNEIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
125 E MAXWELL ST, STE 303, LEXINGTON, KY 40508
(859) 257-7171
Mailing address
3153 DAUPHIN ST, MOBILE, AL 36606-4061
(251) 340-6600
(251) 479-7164
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1-153253
AL
363LA2200X
Adult Health Nurse Practitioner
Primary
3015539
KY
363LG0600X
Gerontology Nurse Practitioner
3015539
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
512-22153
BCBS OF AL
AL
01
—
A05323A
MEDICARE
AL
Enumeration date
02/04/2019
Last updated
02/01/2021
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