MARY DANA OVERALL MCCLELLAN RN
NPI 1700660883
Registered Nurse - Medical-Surgical in Simpsonville, KY
Active since August 21, 2023
About Mary Dana Overall Mcclellan Rn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARY DANA OVERALL MCCLELLAN RN (NPI 1700660883) is an individual medical-surgical provider in Simpsonville, Kentucky, licensed in Kentucky (1099640) and active in the NPI registry since August 2023.
NPPES Registry Identity
NPI1700660883
Entity TypeIndividualFemale
Primary Taxonomy163WM0705X
Provider Legal NameMARY DANA OVERALL MCCLELLANCredential: RN
Location Address220 LAKESHORE DRSimpsonville, KY 40067-6649
Mailing Address220 Lakeshore DrSimpsonville, KY 40067-6649 · (502) 319-3282
Phone(502) 319-3282
Sole ProprietorNo
Enumeration DateAugust 21, 2023
NPPES CertifiedAugust 21, 2023
✔ NPI 1700660883 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyRegistered Nurse · Medical-SurgicalNursing Service Providers
Taxonomy Code163WM0705X
License✔ Licensed in KY · 1099640
220 LAKESHORE DR, Simpsonville, KY 40067
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1700660883, enumerated as an "individual" on August 21, 2023.
The provider is located at 220 LAKESHORE DR SIMPSONVILLE, KY 40067 and the phone number is (502) 319-3282.
Registered Nurse with taxonomy code 163WM0705X and a focus in Medical-Surgical.
