Individual
TANASIA C MCCLENNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9115 SPOTTSWOOD RD, JACKSONVILLE, FL 32208-1761
(904) 629-0159
Mailing address
9115 SPOTTSWOOD RD, JACKSONVILLE, FL 32208-1761
(904) 629-0159
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
FL
Other
Enumeration date
05/25/2026
Last updated
05/25/2026
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