Mcclanahan, Page S

Mcclanahan, Page S is an individual health care provider with primary practice located at 2811 W Market St Suite 1, Johnson City TN 37604-5127. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Mcclanahan, Page S can be contacted via phone (423) 928-2135.

Contact Information

Primary practice address
2811 W Market St Suite 1 Johnson City TN 37604-5127
Phone: (423) 928-2135
Fax: (423) 928-5814
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APN0000007340 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APN0000007340 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X APN0000007340 Tennessee

Profile Details

NPI number 1104894641
LBN Legal business name Mcclanahan, Page S
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 10th, 2006
Last updated Jun 5th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104894641 NPPES
Tennessee Other 4117461 BLUE CROSS BLUE SHIELD PR

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