Mcclellan, Latasha Yvette

Mcclellan, Latasha Yvette is an individual health care provider with primary practice located at 439 Sw Michigan St , Lake City FL 32025-0440. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Mcclellan, Latasha Yvette can be contacted via phone (386) 487-0800.

Contact Information

Primary practice address
439 Sw Michigan St Lake City FL 32025-0440
Phone: (386) 487-0800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN9452093 Florida
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X APRN11019091 Florida

Profile Details

NPI number 1871101691
LBN Legal business name Mcclellan, Latasha Yvette
Credentials RN, APRN, PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2020
Last updated Apr 17th, 2022 - about 2 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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