Individual
MRS. LISA SUE MCCLOUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
184 E 2ND AVE, WILLIAMSON, WV 25661-3602
(304) 235-2930
(304) 235-4202
Mailing address
184 EAST 2ND AVE, WILLIAMSON, WV 25661
(304) 235-2930
(304) 235-4202
Taxonomy
Speciality
Code
Description
License number
State
364SF0001X
Family Health Clinical Nurse Specialist
Primary
61706
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2016009648
ANCC CERTIFICATION #
WV
Enumeration date
09/21/2016
Last updated
09/20/2024
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