Individual provider · Type 1 NPI

Shelliann Marie Endline-McClary, FNP-BC

Nurse Practitioner · Grand Rapids, MI

NPI number 1275682437 Active

Practice location

770 Kenmoor Ave SE Ste 100
Grand Rapids, MI 49546-8602

Fax (616) 259-4839

Mailing address

801 Rosehill Rd
Jackson, MI 49202-1762

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X4704176891 (MI)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1275682437

Shelliann Marie Endline-McClary, FNP-BC's National Provider Identifier is 1275682437, issued on Jan 9, 2007. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Grand Rapids, MI. The record was last updated on May 2, 2025.