MEDICARE: DR. TANESHIA MCCLENDON DNP, APRN, FNP-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	APRN11002685	FL
2	363L00000X	Nurse Practitioner	APRN11002685	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1023677358
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TANESHIA MCCLENDON DNP, APRN, FNP-C

Provider Business Mailing Address
First Line	:	PO BOX 1000
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38148-5203
Country	:	US
Telephone Number	:	941-300-4440
Fax Number	:	941-404-1760

Provider Business Practice Location Address
First Line	:	408 7TH ST W
Second Line	:
City	:	PALMETTO
State	:	FL
Zip	:	34221-5209
Country	:	US
Telephone Number	:	941-300-4440
Fax Number	:	877-651-1335

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/11/2019
Last Update Date	:	05/18/2026

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