Individual
ALESE DENAE MCCLELLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
500 HICKORY HOLLOW TER, ANTIOCH, TN 37013-2115
(615) 440-7385
Mailing address
500 HICKORY HOLLOW TER, ANTIOCH, TN 37013-2115
(615) 440-7385
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
30425
TN
363LP2300X
Primary Care Nurse Practitioner
Primary
30425
TN
Other
Enumeration date
05/10/2022
Last updated
05/18/2023
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