Individual provider · Type 1 NPI
Mary Jeanne McLellan, DC
Chiropractor · Ponte Vedra Beach, FL
NPI number
1891508925
Active
Practice location
486 Town Plaza Ave Ste 410
Ponte Vedra Beach, FL 32081-5141
Mailing address
558 Woodgrove St
Ormond Beach, FL 32174-8458
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 15339 (FL) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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About NPI 1891508925
Mary Jeanne McLellan, DC's National Provider Identifier is 1891508925, issued on Jan 31, 2025. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Ponte Vedra Beach, FL. The record was last updated on Jun 30, 2026.