Individual
DEBRA MCCLELLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LDN
Contact information
Practice address
301 MED TECH PKWY STE 240, JOHNSON CITY, TN 37604-2364
(423) 794-5520
(423) 282-0720
Mailing address
301 MED TECH PKWY STE 240, JOHNSON CITY, TN 37604-2364
(423) 794-5520
(423) 282-0720
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
0298
TN
133V00000X
Registered Dietitian
Primary
0298
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
TN
Enumeration date
03/13/2007
Last updated
04/02/2014
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