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General NPI Number Information
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NPI Number | 1366217531
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Entity Type | Individual
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Provider Name | ANDREA MCCLELLAN PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 11/17/2023
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | 1908 N PARK RD
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City | CONNERSVILLE
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State | IN
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Zip | 47331-2810
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Country | US
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Telephone | 765-222-1079
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Fax |
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Provider Business Mailing Address
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Address Line | 1100 REID PKWY
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City | RICHMOND
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State | IN
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Zip | 47374-1157
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Country | US
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Telephone | 765-983-3000
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | RN.443706
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | APRN.CNP.0035468
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 71016436A
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License Number State | IN
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