Healthcare Provider Details

I. General information

NPI: 1861469363
Provider Name (Legal Business Name): JODI D. MCLAIN MSN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/02/2006
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27700 NORTHWEST FWY STE 250
CYPRESS TX
77433-8505
US

IV. Provider business mailing address

27700 NORTHWEST FWY STE 250
CYPRESS TX
77433-8505
US

V. Phone/Fax

Practice location:
  • Phone: 281-469-4377
  • Fax:
Mailing address:
  • Phone: 281-469-4377
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberROO72480
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: