Tara L Mclellan, ARNP | |
12440 Magnolia Ave Ste 200, Magnolia Springs, AL 36555-6434 | |
(251) 263-4991 | |
Not Available |
Full Name | Tara L Mclellan |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 12440 Magnolia Ave Ste 200, Magnolia Springs, Alabama |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528399748 | NPI | - | NPPES |
1063439065 | Other | AL | NPI SITE GROUP PAYEE NUMBER |
630000013 | Medicaid | AL | |
011846 | Other | AL | MEDICARE GROUP NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 9299613 (Florida) | Secondary |
363LF0000X | Nurse Practitioner - Family | 1-124579 (Alabama) | Primary |
Mailing Address | Practice Location Address |
---|---|
Tara L Mclellan, ARNP 12440 Magnolia Ave Ste 200, Magnolia Springs, AL 36555-6434 Ph: (251) 263-4991 | Tara L Mclellan, ARNP 12440 Magnolia Ave Ste 200, Magnolia Springs, AL 36555-6434 Ph: (251) 263-4991 |
Mrs. April Whitworth Weaver, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 14975 Hwy 98, Magnolia Springs, AL 36555 Phone: 251-965-3320 Fax: 251-965-3315 |