Individual
MRS. JILLIAN MCCLINTOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
5653 FRIST BLVD STE 434, HERMITAGE, TN 37076-2065
(615) 871-9996
Mailing address
2004 HAYES ST, STE 800, NASHVILLE, TN 37203-2659
(615) 329-0570
(615) 329-0579
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
30217
TN
363LF0000X
Family Nurse Practitioner
1003083
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1003083
APRN-CNP
TX
01
—
F05200486
AMERICAN ACADEMY OF NURSE PRACTITIONERS
—
Enumeration date
11/08/2020
Last updated
10/06/2021
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