Individual provider · Type 1 NPI
Tisha McClellan
Driver · Branson, MO
NPI number
1740987437
Active
Practice location
1450 Airport Rd
Branson, MO 65616-7207
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Driver Primary | 172A00000X | J071099002 (MO) |
Driver: A person employed to operate a motor vehicle as a carrier of persons or property.
About NPI 1740987437
Tisha McClellan's National Provider Identifier is 1740987437, issued on Feb 13, 2023. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Branson, MO. The record was last updated on Feb 13, 2023.