Individual
JORDAN EMMA MCCLELLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
850 MAIN STREET, COALPORT, PA 16627
(814) 672-5141
(814) 672-5461
Mailing address
PO BOX 375, COALPORT, PA 16627-0375
(814) 672-5141
(814) 672-5461
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA064578
PA
Other
Enumeration date
07/19/2023
Last updated
11/03/2025
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