Mcclellan, Adrian Blair

Mcclellan, Adrian Blair is an individual health care provider with primary practice located at 11 Professional Pkwy , Ridgeland MS 39157-4114. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Mcclellan, Adrian Blair can be contacted via phone (601) 856-2460.

Contact Information

Primary practice address
11 Professional Pkwy Ridgeland MS 39157-4114
Phone: (601) 856-2460
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X R871959 Mississippi
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R871959 Mississippi

Profile Details

NPI number 1336426543
LBN Legal business name Mcclellan, Adrian Blair
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2011
Last updated Jun 16th, 2023 - about last year

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 1336426543 NPPES
Mississippi MEDICAID 03052761

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